Mini-LET: A Technique Note

Indian J Orthop. 2024 Sep 14;58(11):1669-1676. doi: 10.1007/s43465-024-01269-2. eCollection 2024 Nov.

Abstract

Lateral extra-articular tenodesis (LET) has shown an upswing in popularity since the role of antero-lateral rotatory instability (ALRI) in ACL tears has become better understood. Its primary aim is to restore antero-lateral rotatory stability and hence reduce stresses placed on the ACL graft in high-risk individuals which should reduce graft failure rates. Many techniques have been described for LET using a variety of fixation methods (screws, anchors, etc.). Most of these techniques rely on a large incision laterally. We describe a novel technique ('mini-LET') which uses a 3-4 cm incision, to improve cosmesis.

Keywords: Lateral extra-articular tenodesis (LET); Surgical technique; Technique.