Despite anatomical anterior cruciate ligament (ACL) reconstruction, a subset of patients suffers from persistent rotatory knee instability. Factors contributing to excess anterolateral laxity are injuries to the anterolateral complex, a steep posterior tibial slope, injuries to the menisci, generalized hyperlaxity as well as chronic ACL deficiency. To treat patients with persistent anterolateral rotatory laxity, lateral extra-articular procedures might be beneficial for some patients if indicated. Such procedures enable better control of internal tibial rotation and have been shown to reduce the ACL graft failure rate. A common lateral extra-articular procedure is the modified Lemaire reconstruction. In this article, the modified Lemaire reconstruction is described, with special emphasis on technical tips and pitfalls.     «

Despite anatomical anterior cruciate ligament (ACL) reconstruction, a subset of patients suffers from persistent rotatory knee instability. Factors contributing to excess anterolateral laxity are injuries to the anterolateral complex, a steep posterior tibial slope, injuries to the menisci, generalized hyperlaxity as well as chronic ACL deficiency. To treat patients with persistent anterolateral rotatory laxity, lateral extra-articular procedures might be beneficial for some patients if indicate...     »