Modified Lemaire Lateral Extra-Articular Tenodesis Using an Inlay Technique and All-Suture Knotless Anchor Fixation

Appreciation of persistent anterolateral rotatory instability and graft failure after anterior cruciate ligament (ACL) reconstruction procedures has led surgeons to adopt the addition lateral extra-articular tenodesis (LET) in both revision primary setting. Multiple techniques have been shown eliminate reduce forces on ACL graft, which translated lower re-rupture rates improved patient outcomes. The risk ACL/LET tunnel convergence can potentially compromise fixation one or reconstructions. This article describes a technique for LET minimizes depth femoral bone socket utilizes low-profile implants thus mitigating this risk.