Capsulo-osseous Layer Retensioning and Distal Kaplan Fiber Surgical Reconstruction: A Proposed Anatomical Lateral Extra-articular Tenodesis Approach

Julio Cesar Gali; Julio Cesar Gali Filho; Marcos Felipe Marques; Tyago Araújo Almeida; Phelipe Augusto Cintra da Silva; Robert F LaPrade

doi:10.1016/j.eats.2020.09.021

Capsulo-osseous Layer Retensioning and Distal Kaplan Fiber Surgical Reconstruction: A Proposed Anatomical Lateral Extra-articular Tenodesis Approach

Arthrosc Tech. 2021 Jan 20;10(1):e159-e164. doi: 10.1016/j.eats.2020.09.021. eCollection 2021 Jan.

Authors

Julio Cesar Gali¹, Julio Cesar Gali Filho², Marcos Felipe Marques³, Tyago Araújo Almeida³, Phelipe Augusto Cintra da Silva², Robert F LaPrade⁴

Affiliations

¹ Faculty of Medical Science and Health, Catholic University of São Paulo, Sorocaba.
² Núcleo de Ortopedia e Traumatologia Esportiva, Sorocaba.
³ Hospital Santa Lucinda - Fundação São Paulo, Sorocaba, Brazil.
⁴ Twin Cities Orthopedics, Edina and Eagan, Minnesota, U.S.A.

Abstract

Anterior cruciate ligament intra-articular reconstruction may require extra-articular reinforcement in certain situations. As knee lateral region anatomical and biomechanical knowledge has increased with new research, it has been reported that the iliotibial band is important in the anterolateral stabilization of the knee. Possible indications for a "more anatomical" extra-articular tenodesis focusing on capsulo-osseous layer tensioning and distal Kaplan fibers reconstruction are reported, surgical approach details are described, and scientific data that gives support for this procedure are discussed.