Capsulo-osseous Layer Retensioning and Distal Kaplan Fiber Surgical Reconstruction: A Proposed Anatomical Lateral Extra-articular Tenodesis Approach.
expert_opinion · Level V
Where this comes from
- Record sourced from PubMed, PMID 33532223.
- Also identified by DOI 10.1016/j.eats.2020.09.021 and PMC identifier 7823100.
- Licence recorded as CC BY-NC-ND.
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Abstract
Anterior cruciate ligament intra-articular reconstruction may require extra-articular reinforcement in certain situations. As knee lateral region anatomical and biomechanical knowledge has increased with new research, it has been reported that the iliotibial band is important in the anterolateral stabilization of the knee. Possible indications for a "more anatomical" extra-articular tenodesis focusing on capsulo-osseous layer tensioning and distal Kaplan fibers reconstruction are reported, surgical approach details are described, and scientific data that gives support for this procedure are discussed.