Modified ACL reconstruction technique may reduce retear rate in adolescent athletes
Orthopedics Today reports on the findings of a study led by HSS sports medicine surgeon, Frank A. Cordasco, MD, MS and pediatric orthopedic surgeon, Daniel W. Green, MD, MS, FAAP, FACS, which found adolescent athletes did not experience retear at a minimum two year follow-up after quadriceps autograft anterior cruciate ligament (ACL) reconstruction and iliotibial band tenodesis with a modified Lemaire technique.
“ACL revision rate may be significantly diminished in high-risk young adolescent athletes if [lateral extra-articular tenodesis] LET is performed at the time of quadriceps autograft ACL reconstruction,” said Dr. Cordasco. “Our study is one of the first studies in the world demonstrating that a LET at the time of an ACL reconstruction can be performed safely in young skeletally immature athletes.”
“Our study demonstrates that the addition of a lateral extra-articular tenodesis in the form of a modified Lemaire iliotibial band tenodesis performed at the time of quadriceps autograft ACL reconstruction for those athletes with non-modifiable risk factors and those in the eighth- and ninth-grade age group provides significantly better outcomes compared to ACL reconstruction alone,” added Dr. Green. “We believe that the LET should be considered in young adolescent athletes with non-modifiable risk factors and those in the eighth and ninth grade at the time of ACL reconstruction who are at high risk for revision ACL reconstruction.”
Read the full article at Healio.com/news/orthopedics.
Additional coverage: ryortho.com.