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November 04, 2024
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VIDEO: Treatment of ACL tear with retensionable knotless all-suture anchor

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ACL reconstruction remains among the most common sports medicine surgeries performed worldwide.

The overall goal of ACL reconstruction is to create a stable knee that allows function at a high level for activities of daily living, recreation and sport. While outcomes are generally favorable, postoperative laxity and/or retears are not uncommon. Factors contributing to postoperative laxity and/or retear are variable and include (but are not limited to) patient-specific factors, such as age, sex, sport, compliance with rehabilitation and presence of baseline hyperlaxity; as well as surgeon-specific factors, including graft choice, technique and experience (among other factors).

Certainly, traumatic re-rupture is always possible, even if the surgery was performed perfectly and the patient rehabilitated perfectly. Demonstrated in this video is lateral extra-articular tenodesis via the modified Lemaire technique, which is one strategy for improving stability and reducing retear rates.