Modified Lemaire Technique in ACL Repair Surgery With a Return to Sport Focus


Rubén García Linage, MD
MEXICO

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Modified Lemaire Technique in ACL Repair Surgery With a Return to Sport Focus

Rubén García Linage, MD, MEXICO Daniel Zimbron Lopez, MD, MEXICO Jareth Lassard Rosenthal, MD, MBA, MEXICO Andrea Muñiz Madrazo, MD, MEXICO Raul Velazquez-Castaneda, MD, MEXICO María José Higuera Lazo De La Vega, MD, MEXICO

Hospital Angeles Lomas, Huixquilucan de Degollado, Estado de México, MEXICO

2025 Congress   ePoster Presentation   2025 Congress   Not yet rated

 

Anatomic Location

Knee

Anatomic Structure

Ligaments

Diagnosis / Condition

Tears Trauma Instability

Treatment / Technique

Autograft Arthroscopy Repair / Reconstruction

Ligaments

Anterolateral Ligament ACL

Patient Populations

Female Athletes Professional Athletes / Olympians Sport Specific Population

Diagnosis Method

Physical Examination MRI

Sports Medicine

Sport Specific Injuries Outcome Studies

Summary: Cohort study of 43 athletes undergoing ACL repair with or without modified Lemaire Technique and then evaluated for one year, considering Return to Sport as the main variable.

Introduction

This study aims to compare the outcomes of anterior cruciate ligament (ACL) repair with and without the addition of the modified Lemaire technique, focusing on return to sport and rotational stability.

Methods

A cohort of 43 patients undergoing ACL repair in 12 months (2022-2023) were divided into two groups: 22 patients received standard ACL repair (control group), while 21 patients received ACL repair combined with the modified Lemaire technique. Patients were evaluated in the 30th, 180th and 360th day postsurgery. Return to sport was assessed through patient self-reports and performance metrics. Rotational stability was evaluated using standardized clinical tests and imaging studies. Additionally, post-surgery outcomes were measured using the Lysholm Knee Score and the ACL-Return to Sport after Injury (ACL-RSI) scale.

Results

The results demonstrated that patients who underwent ACL repair with the modified Lemaire technique showed a statistically significant improvement in return to sport rates compared to those who had standard ACL repair. Additionally, the Lemaire group exhibited superior rotational stability, as evidenced by lower pivot shift scores and improved imaging results. Post-surgery scores on the Lysholm Knee Score and ACL-RSI were also higher in the Lemaire group.

Conclusion

The addition of the modified Lemaire technique to ACL repair significantly enhances both return to sport and rotational stability. These findings suggest that this combined approach is particularly beneficial for active adolescents and high-risk patients, offering a promising improvement in ACL reconstruction outcomes. Further research is warranted to continue refining surgical techniques and optimizing patient outcomes.

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