[Anterolateral stabilization using the modified Lemaire technique for ACL deficiency].

[Anterolateral stabilization using the modified Lemaire technique for ACL deficiency].
Oper Orthop Traumatol. 2018 Nov 26;:
Authors: Wurm M, Herbst E, Forkel P, Imhoff AB, Herbort M
Abstract
OBJECTIVE: Treatment of persistent anterolateral knee instability.
INDICATIONS: Subjective/objective (rotational) instability of the knee after anatomic anterior cruciate ligament (ACL) reconstruction. ACL re-rupture including special demands (e.g., high-performance athletes, hyperlaxity) RELATIVE CONTRAINDICATIONS: Osteoarthritis, additional instability of the knee, which should be treated independently; non-anatomic ACL reconstruction with persisting instability should be treated first with anatomic ACL reconstruction.
ABSOLUTE CONTRAINDICATIONS: General contraindications for surgery (e. g. septic arthritis), acute irritation of the affected knee.
SURGICAL TECHNIQUE: Supine position. Incision along the proximal lateral femoral epicondyle. Marking of the needed width and length of the iliotibial band (ITB) graft. Passing the ITB graft underneath the lateral collateral ligament. Find and mark the isometric point for fixation next to the lateral femoral epicondyle. Fixation of the ITB graft. Layered wound closure.
POSTOPERATIVE MANAGEMENT: Knee brace for at least 6 weeks. Range of motion (RoM): from postoperative day 1: flexion-extension 90-0-0°; first 2 weeks after surgery: partial weight bearing (20 kg).
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Source: Operative Orthopadie und Traumatologie - November 26, 2018 Category: Orthopaedics Authors: Wurm M, Herbst E, Forkel P, Imhoff AB, Herbort M Tags: Oper Orthop Traumatol Source Type: research