AANA/ISAKOS Knee and Shoulder Arthroscopy Course-Online Didactics (April 2024)-Lateral Extra-Articular Tenodesis

Lateral Extra-Articular Tenodesis_ The Knee’s Latarjet

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