Lateral Extra-articular Tenodesis With Proximal Staple Fixation

Adam Kwapisz; Scott Mollison; Sheila McRae; Peter MacDonald

doi:10.1016/j.eats.2019.03.020

Lateral Extra-articular Tenodesis With Proximal Staple Fixation

Arthrosc Tech. 2019 Jul 18;8(8):e821-e825. doi: 10.1016/j.eats.2019.03.020. eCollection 2019 Aug.

Authors

Adam Kwapisz¹, Scott Mollison¹, Sheila McRae¹, Peter MacDonald¹

Affiliation

¹ Pan Am Clinic and University of Manitoba, Winnipeg, Canada.

Abstract

A technique for lateral extra-articular tenodesis using proximal staple fixation is described as an adjunct to anterior cruciate ligament (ACL) reconstruction. Lateral extra-articular tenodesis has been used in an effort to decrease failure rates in ACL-deficient patients with ligamentous laxity, prior failed ACL surgery, or grade 3 pivot-shift findings. Numerous surgeons have described combining ACL reconstruction with extra-articular surgery. The approach described in this article is easy and cost-effective. Moreover, because this technique uses a staple instead of a SwiveLock (Arthrex, Naples, FL) or other suture anchor, it limits the chance of conflicting with the tunnels for the ACL because there is no need to drill or punch additional tunnels.