[Modified Lemaire Procedure: Indication, procedure, and clinical results]. / Die modifizierte Lemaire-Technik: Indikation, Eingriff und klinische Ergebnisse.
Orthopade
; 48(3): 248-256, 2019 Mar.
Article
em De
| MEDLINE
| ID: mdl-30535763
ABSTRACT
BACKGROUND:
The mechanisms of anterior cruciate ligament (ACR) rupture may include a pivoting mechanism, which is responsible for concomitant lesions of the anterolateral structures. This anterolateral complex is the main stabilizer of tibial internal rotation and therefore accountable for a persisting pivot shift despite technical improvement of ACR reconstruction. For this reason, knee surgeons' interest in addressing anterolateral stabilization in addition to ACR reconstruction has been renewed. STUDIES Biomechanical and clinical studies have shown promising results so far. The modified, lateral, extra-articular stabilization according to Lemaire as a non-anatomical reconstruction of the anterolateral ligament (ALL) shines with a low morbidity, since no additional tendon harvesting is needed. Besides the potential benefits there are several risks and disadvantages. For example, complete control of the pivot-shift phenomenon is not possible in nearly 8% of cases. In addition, too tight tensioning of the ALL may result in an increase of pressure in the lateral knee compartment. Overall, ALL reconstruction is a hot topic and is heavily discussed in literature. This article provides an overview and brings the modified technique of Lemaire into focus.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Reconstrução do Ligamento Cruzado Anterior
/
Lesões do Ligamento Cruzado Anterior
Limite:
Humans
Idioma:
De
Ano de publicação:
2019
Tipo de documento:
Article