Mini-LET: A Technique Note.

Arora, Manit; Shukla, Tapish; Shah, Jay · Indian J Orthop · 2024

expert_opinion · Level V

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Abstract

Lateral extra-articular tenodesis (LET) has shown an upswing in popularity since the role of antero-lateral rotatory instability (ALRI) in ACL tears has become better understood. Its primary aim is to restore antero-lateral rotatory stability and hence reduce stresses placed on the ACL graft in high-risk individuals which should reduce graft failure rates. Many techniques have been described for LET using a variety of fixation methods (screws, anchors, etc.). Most of these techniques rely on a large incision laterally. We describe a novel technique ('mini-LET') which uses a 3-4 cm incision, to improve cosmesis.