Minimally Invasive Modified Ellison Procedure for Anterolateral Ligament Reconstruction With Biocomposite Knotless Anchor

IF 1.2 Q3 ORTHOPEDICS

Arthroscopy Techniques Pub Date : 2025-06-01 DOI:10.1016/j.eats.2025.103527

Riccardo D’Ambrosi M.D. , Pietro Marchetti M.D. , Edna Skopljak M.D. , Federico Valli M.D. , Alessandro Nuara M.D. , Nicola Ursino M.D.

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引用次数: 0

Abstract

In recent years, anterolateral ligament repair and lateral extra-articular tenodesis have gained prominence as adjuncts to anterior cruciate ligament reconstruction (ACLR). This renewed focus is driven by increasing reports of failure rates exceeding 20% in high-risk groups undergoing standalone ACLR. Despite advancements in surgical techniques, equipment, and postoperative rehabilitation for ACLR, unresolved rotational instability and the persistence of the pivot-shift phenomenon remain significant challenges after ACLR. However, concerns linger regarding potential complications associated with these procedures, including overconstraint of the lateral compartment, stiffness, infections, tunnel convergence, and other intra- and postoperative issues linked to extended surgical times and additional interventions. The aim of this surgical Technical Note is to present a minimally invasive, modified Ellison procedure, employing a biocomposite knotless suture anchor for tibial fixationoffering a potentially effective and less-invasive approach to address these challenges.

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微创改良Ellison法应用生物复合无节锚钉重建前外侧韧带

近年来，前外侧韧带修复和外侧关节外肌腱固定术作为前交叉韧带重建（ACLR）的辅助手段得到了突出的应用。越来越多的报道称，在接受独立ACLR的高风险人群中，失败率超过20%，这促使人们重新关注ACLR。尽管ACLR的手术技术、设备和术后康复都有了进步，但ACLR术后未解决的旋转不稳定和枢轴移位现象的持续存在仍然是重大挑战。然而，对这些手术相关的潜在并发症的担忧仍然存在，包括侧室过度约束、僵硬、感染、隧道融合以及其他与延长手术时间和额外干预相关的手术内和术后问题。本外科技术说明的目的是介绍一种微创的改良Ellison手术，采用生物复合无结缝合锚钉进行胫骨固定，为解决这些挑战提供了一种潜在的有效且微创的方法。

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