[Anterio-lateral extra-articular tenodesis of the knee using a short strip of fascia lata].
This study describes a lateral extra-articular tenodesis using a short strip of ilio-tibial band. The tenodesis consists of a 12 x 75 mm strip of iliotibial band remaining attached to the Gerdy's tubercle. An isometric point in the region of Krackow's point F-9 is determined with a callipers. The strip of iliotibial band is twisted by 180 degrees to enhance its isometry. Then it is either onlay with a screw and spiked washer on the F-9 point, or within a transverse tunnel drilled through the lateral femoral condyle, from the F-9 point, using and interference screw. Thus, the uses of a short ilio-tibial band tenodesis with a 180 degrees twist in combination with a BPTB reconstruction of the ACL, leads to similar results that the combined classic Lemaire tenodesis, with shorter skin incision, shorter graft harvesting, and at least on the biomechanical standpoint a better graft isometry.
Christel
P
P
Clinique Nollet, 21, rue Brochant, 75017 Paris, France.
Djian
P
P
D000070598:Anterior Cruciate Ligament Injuries; D000886:Anthropometry / Q000379:methods; D001696:Biomechanical Phenomena; D001863:Bone Screws; D005206:Fascia Lata / Q000637:transplantation*; D006801:Humans; D007537:Isometric Contraction; D007593:Joint Instability / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D007719:Knee Joint; D008279:Magnetic Resonance Imaging; D016059:Range of Motion, Articular; D012399:Rotation; D013997:Time Factors; D016896:Treatment Outcome