Over-the-Loop Technique for Combined Anterior Cruciate Ligament Reconstruction and Modified Lemaire Tenodesis: Enhancing Rotational Stability With a Single Femoral Tunnel

This article describes a combined technique for anterior cruciate ligament reconstruction and modified anterolateral Lemaire tenodesis using a single femoral tunnel. The approach uses quadrupled hamstring grafts (semitendinosus and gracilis) and an "over-the-loop" passage of the iliotibial band through the graft loop. This technique aims to enhance rotational stability, minimize the risk of tunnel convergence, and reduce technical complexity and associated costs. Biomechanical benefits include improved rotational control, reduced graft rerupture rates, and optimized postoperative rehabilitation. The simplicity and reproducibility of this technique make it an attractive option for orthopaedic surgeons treating high-risk patients or rotational sport athletes.

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Publication Details

Journal
Arthroscopy Techniques
Published
2025-05-06
DOI
https://doi.org/10.1016/j.eats.2025.103570
Citations
2
Primary Topic
Knee injuries and reconstruction techniques
Type
article
Field-Weighted Citation Impact
4.01
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article

Over-the-Loop Technique for Combined Anterior Cruciate Ligament Reconstruction and Modified Lemaire Tenodesis: Enhancing Rotational Stability With a Single Femoral Tunnel

Roberto Cunha Luciano, Diego Ariel de Lima, Camilo Partezani Helito, Vitor Barion Castro de Pádua et al.
2 citations
Arthroscopy Techniques
Knee injuries and reconstruction techniques
4.01
article

Over-the-Loop Technique for Combined Anterior Cruciate Ligament Reconstruction and Modified Lemaire Tenodesis: Enhancing Rotational Stability With a Single Femoral Tunnel

Roberto Cunha Luciano, Diego Ariel de Lima, Camilo Partezani Helito, Vitor Barion Castro de Pádua, Pedro Baches Jorge, Sérgio Marinho de Gusmão Canuto, Cristiano José Silva Manze
article en
2 citations

Abstract

This article describes a combined technique for anterior cruciate ligament reconstruction and modified anterolateral Lemaire tenodesis using a single femoral tunnel. The approach uses quadrupled hamstring grafts (semitendinosus and gracilis) and an "over-the-loop" passage of the iliotibial band through the graft loop. This technique aims to enhance rotational stability, minimize the risk of tunnel convergence, and reduce technical complexity and associated costs. Biomechanical benefits include improved rotational control, reduced graft rerupture rates, and optimized postoperative rehabilitation. The simplicity and reproducibility of this technique make it an attractive option for orthopaedic surgeons treating high-risk patients or rotational sport athletes.

Arthroscopy TechniquesVol. 14(7)
Naval Sea Systems Command (US), Irmandade da Santa Casa de Misericórdia de São Paulo (BR), Sociedade Brasileira de Ortopedia e Traumatologia (BR), Universidade de Marília (BR), BMT Group (Brazil) (BR), Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (BR), Universidade Federal de Uberlândia (BR), Universidade Federal Rural do Semi-Árido (BR)
Sustainable cities and communities
Openalex Percentile: Top 7%
Knee injuries and reconstruction techniques
4.01
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Over-the-Loop Technique for Combined Anterior Cruciate Ligament Reconstruction and Modified Lemaire Tenodesis: Enhancing Rotational Stability With a Single Femoral Tunnel — Roberto Cunha Luciano, Diego Ariel de Lima, et al. · Arthroscopy Techniques (2025) | TGRS Research Map | TGRS