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AANA/ISAKOS Knee and Shoulder Arthroscopy Course-O ...
Lateral Extra-Articular Tenodesis_ The Knee’s Lata ...
Lateral Extra-Articular Tenodesis_ The Knee’s Latarjet
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Video Transcription
Video Summary
Guillermo Arce presents technical details on extra-articular knee tenodesis to augment anterior cruciate ligament (ACL) reconstruction in high-risk patients with significant knee instability and excessive internal tibial rotation. Anatomical ACL reconstruction alone can have high re-rupture rates in athletes with pivoting sports. Extra-articular tenodesis, particularly using the McIntosh technique with a fascia lata graft passed beneath the lateral collateral ligament, better controls tibial internal rotation and improves stability. Proper patient assessment and tailored surgery reduce re-rupture risk 2.5-3 times. Rehabilitation focusing on external rotation muscles is essential for optimal outcomes.
Keywords
extra-articular knee tenodesis
anterior cruciate ligament reconstruction
McIntosh technique
knee instability
rehabilitation external rotation
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