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Review
. 2019 Mar;48(3):248-256.
doi: 10.1007/s00132-018-03663-9.

[Modified Lemaire Procedure: Indication, procedure, and clinical results]

[Article in German]
Andreas Flury  1 , Julian Hasler  2 , Florian Balthasar Imhoff  3 , Michael Finsterwald  2 , Roland Stefan Camenzind  2 , Näder Helmy  2 , Alexander Antoniadis  2
Affiliations
Review

[Modified Lemaire Procedure: Indication, procedure, and clinical results]

[Article in German]
Andreas Flury et al. Orthopade. 2019 Mar.

Erratum in

Abstract

Background: The mechanisms of anterior cruciate ligament (ACR) rupture may include a pivoting mechanism, which is responsible for concomitant lesions of the anterolateral structures. This anterolateral complex is the main stabilizer of tibial internal rotation and therefore accountable for a persisting pivot shift despite technical improvement of ACR reconstruction. For this reason, knee surgeons' interest in addressing anterolateral stabilization in addition to ACR reconstruction has been renewed.

Studies: Biomechanical and clinical studies have shown promising results so far. The modified, lateral, extra-articular stabilization according to Lemaire as a non-anatomical reconstruction of the anterolateral ligament (ALL) shines with a low morbidity, since no additional tendon harvesting is needed. Besides the potential benefits there are several risks and disadvantages. For example, complete control of the pivot-shift phenomenon is not possible in nearly 8% of cases. In addition, too tight tensioning of the ALL may result in an increase of pressure in the lateral knee compartment. Overall, ALL reconstruction is a hot topic and is heavily discussed in literature. This article provides an overview and brings the modified technique of Lemaire into focus.

Keywords: Anterior cruciate ligament; Anterolateral complex; Anterolateral ligament; Knee joint; Rotation.

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