Skip to main content
British Journal of Sports Medicine logoLink to British Journal of Sports Medicine
. 1994 Mar;28(1):31–34. doi: 10.1136/bjsm.28.1.31

Extra-articular tenodesis for anterior cruciate ligament rupture in amateur skiers.

P Neyret 1, J R Palomo 1, S T Donell 1, H Dejour 1
PMCID: PMC1332154  PMID: 8044490

Abstract

Thirty one amateur skiers with 33 knees which had had a symptomatic chronic rupture of the anterior cruciate ligament (ACL) treated with the Lemaire operation were reviewed retrospectively at an average of 4.5 years. Of the patients 23 were women. The operation failed to control symptoms in 17 out of the 33 knees. However the operation did control symptoms in 13 out of 19 knees in patients over 35 years old, compared with only three out of 14 knees in patients under 35 years old. Clinical and objective testing however showed that most knees were still unstable. Despite this 21 patients continued skiing. One patient with a successful result switched to playing tennis. Five patients gave up all sports. Four further patients, all under 35 years old, returned to skiing after an additional intra-articular reconstruction of the anterior cruciate ligament. An isolated extra-articular procedure in amateur skiers under 35 years old with symptomatic chronic ACL rupture is not recommended. They need at least an intra-articular reconstruction to control their symptoms and to stabilize the knee.

Full text

PDF
31

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Amirault J. D., Cameron J. C., MacIntosh D. L., Marks P. Chronic anterior cruciate ligament deficiency. Long-term results of MacIntosh's lateral substitution reconstruction. J Bone Joint Surg Br. 1988 Aug;70(4):622–624. doi: 10.1302/0301-620X.70B4.3403611. [DOI] [PubMed] [Google Scholar]
  2. Burgot D., Rosset P., Favard L., Burdin P. Laxités chroniques antérieures du genou traitées par ligamentoplastie extra-articulaire. 226 cas revus à plus de 2 ans. Rev Chir Orthop Reparatrice Appar Mot. 1988;74(5):424–429. [PubMed] [Google Scholar]
  3. Chassaing V. La ligamentoplastie palliative (technique Lemaire) pour rupture du ligament croisé antéro-externe. Etude de 44 cas. Rev Chir Orthop Reparatrice Appar Mot. 1980;66 (Suppl 2):93–96. [PubMed] [Google Scholar]
  4. Dejour H. Les résultats du traitement des laxités antérieures du genou. Rev Chir Orthop Reparatrice Appar Mot. 1983;69(4):255–302. [PubMed] [Google Scholar]
  5. Dejour H., Walch G., Deschamps G., Chambat P. Arthrose du genou sur laxité chronique antérieure. Rev Chir Orthop Reparatrice Appar Mot. 1987;73(3):157–170. [PubMed] [Google Scholar]
  6. Dejour H., Walch G., Neyret P., Adeleine P. Résultats des laxités chroniques antérieures opérées. A propos de 251 cas revus avec un recul minimum de 3 ans. Rev Chir Orthop Reparatrice Appar Mot. 1988;74(7):622–636. [PubMed] [Google Scholar]
  7. Feagin J. A., Jr, Lambert K. L., Cunningham R. R., Anderson L. M., Riegel J., King P. H., VanGenderen L. Consideration of the anterior cruciate ligament injury in skiing. Clin Orthop Relat Res. 1987 Mar;(216):13–18. [PubMed] [Google Scholar]
  8. Franklin J. L., Rosenberg T. D., Paulos L. E., France E. P. Radiographic assessment of instability of the knee due to rupture of the anterior cruciate ligament. A quadriceps-contraction technique. J Bone Joint Surg Am. 1991 Mar;73(3):365–372. [PubMed] [Google Scholar]
  9. Higgins R. W., Steadman J. R. Anterior cruciate ligament repairs in world class skiers. Am J Sports Med. 1987 Sep-Oct;15(5):439–447. doi: 10.1177/036354658701500503. [DOI] [PubMed] [Google Scholar]
  10. Ireland J., Trickey E. L. Macintosh tenodesis for anterolateral instability of the knee. J Bone Joint Surg Br. 1980 Aug;62(3):340–345. doi: 10.1302/0301-620X.62B3.7410466. [DOI] [PubMed] [Google Scholar]
  11. Kennedy J. C., Stewart R., Walker D. M. Anterolateral rotatory instability of the knee joint. An early analysis of the Ellison procedure. J Bone Joint Surg Am. 1978 Dec;60(8):1031–1039. [PubMed] [Google Scholar]
  12. Lemaire M., Combelles F. Technique actuelle de plastie ligamentaire pour rupture ancienne du ligament croisé antérieur. Rev Chir Orthop Reparatrice Appar Mot. 1980 Nov-Dec;66(8):523–525. [PubMed] [Google Scholar]
  13. Losee R. E., Johnson T. R., Southwick W. O. Anterior subluxation of the lateral tibial plateau. A diagnostic test and operative repair. J Bone Joint Surg Am. 1978 Dec;60(8):1015–1030. [PubMed] [Google Scholar]
  14. Odensten M., Lysholm J., Gillquist J. Long-term follow-up study of a distal iliotibial band transfer (DIT) for anterolateral knee instability. Clin Orthop Relat Res. 1983 Jun;(176):129–135. [PubMed] [Google Scholar]
  15. Rosenberg T. D., Paulos L. E., Parker R. D., Coward D. B., Scott S. M. The forty-five-degree posteroanterior flexion weight-bearing radiograph of the knee. J Bone Joint Surg Am. 1988 Dec;70(10):1479–1483. [PubMed] [Google Scholar]
  16. Teitge R. A., Indelicato P. A., Kerlan R. K., Blazina M. E., Jobe F. W., Carter V. S., Shields C. L., Lombardo S. J., Kelly K. Iliotibial band transfer for anterolateral rotatory instability of the knee. Summary of 54 cases. Am J Sports Med. 1980 Jul-Aug;8(4):223–227. doi: 10.1177/036354658000800401. [DOI] [PubMed] [Google Scholar]

Articles from British Journal of Sports Medicine are provided here courtesy of BMJ Publishing Group

RESOURCES