Nonanatomic Posterolateral Tenodesis for Posterior Ligament Reconstruction Augmentation

A successful posterior cruciate ligament (PCL) reconstruction depends on multiple factors. Various techniques have been described for PCL reconstruction. Despite the constant evolution of reconstructive techniques, 26% of residual laxity cases with grade I and II positive posterior drawer tests have...

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Main Authors: Emiliano Álvarez-Salinas, M.D., Leandro Civetta, M.D., Javier Reparaz, M.D., Joan Carles Monllau, M.D., Ph.D., Rodolfo Morales-Avalos, M.D., M.Sc., Ph.D.
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628724003001
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author Emiliano Álvarez-Salinas, M.D.
Leandro Civetta, M.D.
Javier Reparaz, M.D.
Joan Carles Monllau, M.D., Ph.D.
Rodolfo Morales-Avalos, M.D., M.Sc., Ph.D.
author_facet Emiliano Álvarez-Salinas, M.D.
Leandro Civetta, M.D.
Javier Reparaz, M.D.
Joan Carles Monllau, M.D., Ph.D.
Rodolfo Morales-Avalos, M.D., M.Sc., Ph.D.
author_sort Emiliano Álvarez-Salinas, M.D.
collection DOAJ
description A successful posterior cruciate ligament (PCL) reconstruction depends on multiple factors. Various techniques have been described for PCL reconstruction. Despite the constant evolution of reconstructive techniques, 26% of residual laxity cases with grade I and II positive posterior drawer tests have been reported in the literature in patients undergoing PCL reconstruction. Part of these failures is associated with the lack of control of the posterior translation of the tibia and the increase in external tibial rotation. We describe a surgical technique in which a posterolateral tenodesis augmentation associated with a single-bundle reconstruction of the PCL is performed. It is proposed for use in isolated reconstructions of the PCL in cases of grade III ruptures associated with or unassociated with low-grade posterolateral corner injuries.
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publishDate 2025-01-01
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series Arthroscopy Techniques
spelling doaj-art-02a6f57749ce4b63ac810ac0deffc4492025-01-30T05:14:06ZengElsevierArthroscopy Techniques2212-62872025-01-01141103167Nonanatomic Posterolateral Tenodesis for Posterior Ligament Reconstruction AugmentationEmiliano Álvarez-Salinas, M.D.0Leandro Civetta, M.D.1Javier Reparaz, M.D.2Joan Carles Monllau, M.D., Ph.D.3Rodolfo Morales-Avalos, M.D., M.Sc., Ph.D.4Sanatorio del Norte, Corrientes, Argentina; Universidad Nacional del Noreste, ArgentinaSanatorio del Norte, Corrientes, Argentina; Universidad Nacional del Noreste, ArgentinaSanatorio del Norte, Corrientes, Argentina; Universidad Nacional del Noreste, ArgentinaDepartment of Orthopedic Surgery and Traumatology, Hospital del Mar, Universitat Autonoma de Barcelona, Barcelona, Spain; ICATKnee, (ICATME), Hospital Universitari Dexeus, Universitat Autonoma de Barcelona, Barcelona, SpainLaboratory of Biomechanics, Department of Physiology, School of Medicine, Universidad Autónoma de Nuevo León, Monterrey, Mexico; Department of Traumatology, Medical Services of the Autonomous University of Nuevo Leon, Monterrey, Mexico; Address correspondence to Rodolfo Morales-Avalos, M.D., M.Sc., Ph.D., Laboratory of Biomechanics, Department of Physiology, School of Medicine, Universidad Autonoma de Nuevo León (U.A.N.L.), Av. Francisco I. Madero and Av. Dr. Eduardo Aguirre Pequeño, s/n, Col. Mitras Centro, CP 66460, Monterrey, Nuevo León, Mexico.A successful posterior cruciate ligament (PCL) reconstruction depends on multiple factors. Various techniques have been described for PCL reconstruction. Despite the constant evolution of reconstructive techniques, 26% of residual laxity cases with grade I and II positive posterior drawer tests have been reported in the literature in patients undergoing PCL reconstruction. Part of these failures is associated with the lack of control of the posterior translation of the tibia and the increase in external tibial rotation. We describe a surgical technique in which a posterolateral tenodesis augmentation associated with a single-bundle reconstruction of the PCL is performed. It is proposed for use in isolated reconstructions of the PCL in cases of grade III ruptures associated with or unassociated with low-grade posterolateral corner injuries.http://www.sciencedirect.com/science/article/pii/S2212628724003001
spellingShingle Emiliano Álvarez-Salinas, M.D.
Leandro Civetta, M.D.
Javier Reparaz, M.D.
Joan Carles Monllau, M.D., Ph.D.
Rodolfo Morales-Avalos, M.D., M.Sc., Ph.D.
Nonanatomic Posterolateral Tenodesis for Posterior Ligament Reconstruction Augmentation
Arthroscopy Techniques
title Nonanatomic Posterolateral Tenodesis for Posterior Ligament Reconstruction Augmentation
title_full Nonanatomic Posterolateral Tenodesis for Posterior Ligament Reconstruction Augmentation
title_fullStr Nonanatomic Posterolateral Tenodesis for Posterior Ligament Reconstruction Augmentation
title_full_unstemmed Nonanatomic Posterolateral Tenodesis for Posterior Ligament Reconstruction Augmentation
title_short Nonanatomic Posterolateral Tenodesis for Posterior Ligament Reconstruction Augmentation
title_sort nonanatomic posterolateral tenodesis for posterior ligament reconstruction augmentation
url http://www.sciencedirect.com/science/article/pii/S2212628724003001
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