A review of Marcel Lemaire’s original work on lateral extra-articular tenodesis

This classic discusses Marcel Lemaire’s (1918-2006) original publications in the context of modern surgical practice, including a description of his original lateral extra-articular tenodesis. Previously published in French, these translations shed light on his revelations regarding the ACL’s role in knee stability and his detailed insights into the “ressaut rotatoire” or the pivot-shift phenomenon. We track the evolution of Lemaire’s procedure since the publication of his original technique in 1967 which used a nylon cord superficial to the LCL followed by cast immobilisation for one month. We report his patient outcomes as he refines his methods through experiential learning.Lemaire’s fundamental concepts in relation to ACL deficiency remain relevant in contemporary clinical practice. Furthermore, the “modified Lemaire technique” has emerged as one of the preferred methods for lateral extra-articular tenodesis. We hope that disseminating his thoughts to a wider audience will help enlighten the ongoing debate regarding the management of rotatory instability. Level of Evidence V - Expert Opinion