Research coverage
Adding a lateral extra-articular tenodesis to ACL reconstruction in children
Two-year results for the LET, in children and teenagers at high risk of tearing the graft again.
What it found
- The study followed children and teenagers who had an ACL reconstruction with a modified Lemaire lateral extra-articular tenodesis (LET) added, all of whom carried risk factors for the reconstruction failing.
- Patient-reported outcomes at two years were favourable, and the return-to-sport rate in the abstract was 91.8%.
- HSS is among the first centres to use the Lemaire LET alongside ACL reconstruction in this age group.
- Adding the LET lengthens the operation by roughly 20 minutes, and the rehabilitation afterwards is the same as for an ACL reconstruction on its own.
Presented at the American Academy of Orthopaedic Surgeons 2022 Annual Meeting.
In Dr. Green’s own words
It is one of the first studies that shows in young kids who are growing, with open growth plates, it can be done safely.
We used [the LET] technique before and we’re excited about it, but we’re now sharing that the actual return to sport is high [and] patient-reported outcomes were respectable,
Orthopedics Today · 26 April 2022. Dr. Green is one of the two study authors, with Frank A. Cordasco, MD, MS. Read the original
The research behind it
His 6 papers on the lateral extra-articular tenodesis, indexed on PubMed under his Hospital for Special Surgery affiliation. Each opens on PubMed.
- Decreased Effective Patellar Tendon Length following Distalization Tibial Tubercle Osteotomy without Patellar Tendon Tenodesis Orthopaedic journal of sports medicine · 2024 Feb · Dr. Green is author 3 of 5
- Association of Lateral Extra-Articular Tenodesis With Improved Graft Maturity on MRI 2 Years After ACL Reconstruction With Quadriceps Tendon Autograft in Skeletally Immature Athletes Orthopaedic journal of sports medicine · 2024 Jan · Dr. Green is author 5 of 5
- A Modified Lemaire Lateral Extra-articular Tenodesis in High-Risk Adolescents Undergoing Anterior Cruciate Ligament Reconstruction With Quadriceps Tendon Autograft: 2-Year Clinical Outcomes The American journal of sports medicine · 2023 May · Dr. Green is author 1 of 6
- Paediatric reference anatomy for ACL reconstruction and secondary anterolateral ligament or lateral extra-articular tenodesis procedures Journal of ISAKOS : joint disorders & orthopaedic sports medicine · 2022 Dec · Dr. Green is author 8 of 11
- Lateral-extra articular tenodesis vs. anterolateral ligament reconstruction in skeletally immature patients undergoing anterior cruciate ligament reconstruction Current opinion in pediatrics · 2022 Feb 1 · Dr. Green is author 3 of 3
- Modified Lemaire Lateral Extra-articular Tenodesis in the Pediatric Patient: An Adjunct to Anterior Cruciate Ligament Reconstruction Arthroscopy techniques · 2020 Jan · Dr. Green is author 3 of 4