How to Avoid Knee Tunnel Convergence When Performing a Modified Lemaire Extra-Articular Tenodesis

Graeme P Hopper; Abdo El Helou; Corentin Philippe; Joao Pedro Campos; Thais Dutra Vieira; Bertrand Sonnery-Cottet

doi:10.1016/j.eats.2022.02.019

How to Avoid Knee Tunnel Convergence When Performing a Modified Lemaire Extra-Articular Tenodesis

Arthrosc Tech. 2022 Jun 21;11(6):e1111-e1115. doi: 10.1016/j.eats.2022.02.019. eCollection 2022 Jun.

Authors

Graeme P Hopper¹, Abdo El Helou¹, Corentin Philippe¹, Joao Pedro Campos¹, Thais Dutra Vieira¹, Bertrand Sonnery-Cottet¹

Affiliation

¹ Centre Orthopédique Santy, FIFA Medical Centre of Excellence, Groupe Ramsay-Générale de Santé, Hopital Privé Jean Mermoz, Lyon, France.

Abstract

There has been a significant increase in the number of anterior cruciate ligament (ACL) reconstruction (ACLR) procedures being performed with a lateral extra-articular procedure (LEAP). However, tunnel convergence in combined ACLR and LEAP techniques has been described and can lead to damage to the graft or graft failure. This technical note describes how to avoid knee tunnel convergence when performing a modified Lemaire extra-articular tenodesis using a knotless suture anchor.