2021 Annual Meeting Knee Access Pass-Current Indications for Adding a LET to Your ACL (talk with video)

Current Indications for Adding a LET to Your ACL (talk with video)

Video Transcription

Video Summary

Dr. Jorge discusses indications for adding a lateral extra-articular tenodesis (LET) to ACL reconstruction, especially in young, high-risk patients such as athletes with high-grade knee laxity, meniscal injury, and increased posterior tibial slope. Studies, including the Stability trial, show LET reduces graft failure by up to 66% and improves rotational stability without increasing complications. LET is particularly recommended for revisions, hamstring grafts, young patients, those with hyperextension, or posterior tibial slope over 10 degrees. The surgical technique is straightforward, adding 5-10 minutes, involving a strip of the IT band fixed near the lateral femoral condyle.

Asset Caption

Dr. Alan Getgood

Keywords

Lateral Extra-Articular Tenodesis

ACL Reconstruction

Knee Laxity

Graft Failure Reduction

Posterior Tibial Slope