title: The scientific rationale for lateral tenodesis augmentation of intra-articular ACL reconstruction using a modified 'Lemaire' procedure.
abstract: OBJECTIVE
  The purpose of this work was to develop the rationale for adding a lateral extra-articular tenodesis to an ACL reconstruction in a knee with an injury that included both the ACL and anterolateral structures, and to show the early clinical picture.
  
  
  METHODS
  The paper includes a review of recent anatomical and biomechanical studies of the anterolateral aspect of the knee. It then provides a detailed description of a modified Lemaire tenodesis technique. A short-term clinical follow-up of a case and control group was performed, with two sequential groups of patients treated by isolated ACL reconstruction, and by combined ACL plus lateral tenodesis.
  
  
  RESULTS
  The anatomical and biomechanical literature guide the surgeon towards a procedure based on the ilio-tibial band. The clinical study found a reduction in pivot-shift instability in the group of patients with the combined procedure.
  
  
  CONCLUSIONS
  The evidence suggests that it should be appropriate to add a lateral extra-articular procedure to an ACL reconstruction in selected cases, but it was concluded that further data are required before definitive guidelines on the use of a lateral tenodesis can be established.
  
  
  METHODS
  III.
authors.affiliation: Fortius Clinic, London, UK. andy.williams@fortiusclinic.com.
authors.forename: Andy
authors.identifier: http://orcid.org/0000-0001-6756-2751
authors.initials: A
authors.lastname: Williams
authors.affiliation: Fortius Clinic, London, UK.|Chelsea and Westminster Hospital, London, UK.
authors.forename: Simon
authors.initials: S
authors.lastname: Ball
authors.affiliation: Fortius Clinic, London, UK.|Imperial College London, London, UK.
authors.forename: Jo
authors.initials: J
authors.lastname: Stephen
authors.affiliation: Fortius Clinic, London, UK.
authors.forename: Nathan
authors.initials: N
authors.lastname: White
authors.affiliation: Fortius Clinic, London, UK.
authors.forename: Mary
authors.initials: M
authors.lastname: Jones
authors.affiliation: Imperial College London, London, UK.
authors.forename: Andrew
authors.initials: A
authors.lastname: Amis
mesh_terms: D000328:Adult; D000070598:Anterior Cruciate Ligament Injuries / Q000150:complications / Q000601:surgery*; D059549:Anterior Cruciate Ligament Reconstruction / Q000379:methods*; D006801:Humans; D007593:Joint Instability / Q000601:surgery; D007718:Knee Injuries / Q000150:complications / Q000601:surgery*; D007719:Knee Joint / Q000601:surgery; D008297:Male; D013710:Tendons / Q000601:surgery; D053656:Tenodesis / Q000379:methods*; D013977:Tibia / Q000601:surgery
keywords: Anterior cruciate ligament; Anterolateral ligament; Iliotibial band; Lateral collateral ligament; Lateral tenodesis; Lemaire