APEX Optimizing Surgical Outcomes for Knee & Shoulder Arthroscopy-LET vs. ALL: Technical Pearls

Video Transcription

Video Summary

Dr. Cruz Ignacio Cardona discusses lateral tenodesis and anterolateral ligament (ALL) reconstruction as adjuncts to anterior cruciate ligament (ACL) reconstruction to improve knee stability and reduce failure rates. While ACL reconstruction has a high success rate, 10-15% fail, and up to 25% of patients don’t regain pre-injury performance. Instability, especially rotational, is a key failure cause. Techniques like the modified Lemaire lateral tenodesis and ALL reconstruction provide additional rotational control, particularly beneficial for patients under 25, athletes in pivoting sports, and those with hyperlaxity or revision surgeries. The lecture reviews surgical steps, anatomical considerations, and evidence showing both lateral tenodesis and ALL reconstruction similarly enhance rotational stability and reduce ACL graft failures without added complications. The choice depends on patient factors and surgeon experience. These procedures are not universally required but are valuable for selected high-risk patients to achieve better functional outcomes and reduce re-injury risk in ACL surgery.

Asset Caption

Faculty: Jesus Ignacio Cardona-Medina, M.D.

Keywords

lateral tenodesis

anterolateral ligament reconstruction

ACL reconstruction

knee stability

rotational instability