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Systematic Review| Volume 31, ISSUE 10, P2035, October 2015

Editorial Commentary: Knee Lateral Extra-articular Tenodesis

DOI:https://doi.org/10.1016/j.arthro.2015.07.007
Editorial Commentary: Knee Lateral Extra-articular Tenodesis
Previous ArticleLateral Extra-articular Tenodesis Reduces Rotational Laxity When Combined With Anterior Cruciate Ligament Reconstruction: A Systematic Review of the Literature
Next ArticleIs Local Viscosupplementation Injection Clinically Superior to Other Therapies in the Treatment of Osteoarthritis of the Knee: A Systematic Review of Overlapping Meta-analyses

      Abstract

      Knee lateral extra-articular tenodesis (LET) can be combined with anterior cruciate ligament (ACL) reconstruction with a goal of reducing anterolateral rotatory instability. Like double-bundle ACL reconstruction, LET combined with ACL reconstruction reduces pivot-shift, a subjective test, but results in no significant difference in clinical outcome.
      The knee anterolateral ligament is a hot topic,
      • Pomajzl R.
      • Maerz T.
      • Shams C.
      • Guettler J.
      • Bicos J.
      A review of the anterolateral ligament of the knee: Current knowledge regarding its incidence, anatomy, biomechanics, and surgical dissection.
      Arthroscopy. 2015; 31: 583-591
      , 
      • Lubowitz J.H.
      • Provencher M.T.
      • Brand J.C.
      • Rossi M.J.
      The knee anterolateral ligament.
      Arthroscopy. 2014; 30: 1385-1388
      , 
      • Van der Watt L.
      • Khan M.
      • Rothrauff B.B.
      • Ayeni O.R.
      • Musahl V.
      • Getgood A.
      • Peterson D.
      The structure and function of the anterolateral ligament of the knee: A systematic review.
      Arthroscopy. 2015; 31: 569-582
      , 
      • Claes Steven
      • Luyckx Thomas
      • Vereecke Evie
      • Bellemans Johan
      The Segond fracture: A bony injury of the anterolateral ligament of the knee.
      Arthroscopy. 2015; 30: 1475-1482
      but clinical study of anterolateral ligament reconstruction is lacking. On the other hand, if we consider knee anterolateral ligament reconstruction to be a variant of knee lateral extra-articular tenodesis (LET), then we must note that LET has been very well studied and, in this issue of Arthroscopy, Hewison, Tran, Kaniki, Remtula, Bryant, and Getgood from Fowler Kennedy Sport Medicine Clinic in London, Ontario, present their systematic review “Lateral extra-articular tenodesis reduces rotational laxity when combined with anterior cruciate ligament reconstruction: A systematic review of the literature.”
      • Hewison C.
      • Tran M.N.
      • Kaniki N.
      • Remtula A.
      • Bryant D.
      • Getgood A.M.
      Lateral extra-articular tenodesis reduces rotational laxity when combined with anterior cruciate ligament reconstruction: A systematic review of the literature.
      Arthroscopy. 2015; 31: 2022-2034
      Hewison et al. searched nine databases for studies comparing anterior cruciate ligament (ACL) with and without LET and found an impressive number of published comparative studies (8 randomized and 21 nonrandomized). ACL combined with LET reduces pivot-shift,
      • Hewison C.
      • Tran M.N.
      • Kaniki N.
      • Remtula A.
      • Bryant D.
      • Getgood A.M.
      Lateral extra-articular tenodesis reduces rotational laxity when combined with anterior cruciate ligament reconstruction: A systematic review of the literature.
      Arthroscopy. 2015; 31: 2022-2034
      a subjective test, which is notably similar to double-bundle ACL reconstruction.
      • Mascarenhas R.
      • Cvetanovich G.L.
      • Sayegh E.T.
      • Verma N.N.
      • Cole B.J.
      • Bush-Joseph C.
      • Bach Jr., B.R.
      Does double-bundle anterior cruciate ligament reconstruction improve postoperative knee stability compared with single-bundle techniques? A systematic review of overlapping meta-analyses.
      Arthroscopy. 2015; 31: 1185-1196
      No differences were found in clinical outcomes,
      • Hewison C.
      • Tran M.N.
      • Kaniki N.
      • Remtula A.
      • Bryant D.
      • Getgood A.M.
      Lateral extra-articular tenodesis reduces rotational laxity when combined with anterior cruciate ligament reconstruction: A systematic review of the literature.
      Arthroscopy. 2015; 31: 2022-2034
      which is also notably similar to double-bundle ACL reconstruction.
      • Mascarenhas R.
      • Cvetanovich G.L.
      • Sayegh E.T.
      • Verma N.N.
      • Cole B.J.
      • Bush-Joseph C.
      • Bach Jr., B.R.
      Does double-bundle anterior cruciate ligament reconstruction improve postoperative knee stability compared with single-bundle techniques? A systematic review of overlapping meta-analyses.
      Arthroscopy. 2015; 31: 1185-1196

      References

        • Pomajzl R.
        • Maerz T.
        • Shams C.
        • Guettler J.
        • Bicos J.
        A review of the anterolateral ligament of the knee: Current knowledge regarding its incidence, anatomy, biomechanics, and surgical dissection.
        Arthroscopy. 2015; 31: 583-591
        View in Article
        • Lubowitz J.H.
        • Provencher M.T.
        • Brand J.C.
        • Rossi M.J.
        The knee anterolateral ligament.
        Arthroscopy. 2014; 30: 1385-1388
        View in Article
        • Van der Watt L.
        • Khan M.
        • Rothrauff B.B.
        • Ayeni O.R.
        • Musahl V.
        • Getgood A.
        • Peterson D.
        The structure and function of the anterolateral ligament of the knee: A systematic review.
        Arthroscopy. 2015; 31: 569-582
        View in Article
        • Claes Steven
        • Luyckx Thomas
        • Vereecke Evie
        • Bellemans Johan
        The Segond fracture: A bony injury of the anterolateral ligament of the knee.
        Arthroscopy. 2015; 30: 1475-1482
        View in Article
        • Hewison C.
        • Tran M.N.
        • Kaniki N.
        • Remtula A.
        • Bryant D.
        • Getgood A.M.
        Lateral extra-articular tenodesis reduces rotational laxity when combined with anterior cruciate ligament reconstruction: A systematic review of the literature.
        Arthroscopy. 2015; 31: 2022-2034
        View in Article
        • Mascarenhas R.
        • Cvetanovich G.L.
        • Sayegh E.T.
        • Verma N.N.
        • Cole B.J.
        • Bush-Joseph C.
        • Bach Jr., B.R.
        Does double-bundle anterior cruciate ligament reconstruction improve postoperative knee stability compared with single-bundle techniques? A systematic review of overlapping meta-analyses.
        Arthroscopy. 2015; 31: 1185-1196
        View in Article

      Article info

      Footnotes

      See related article on page 2022

      Identification

      DOI: https://doi.org/10.1016/j.arthro.2015.07.007

      Copyright

      © 2015 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

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