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Combined All-Inside Anterior Cruciate Ligament Reconstruction With Semitendinosus Plus Anterolateral Ligament Reconstruction With Intact Gracilis Tibial Insertion and Transtibial Passage

The indications for combining anterior cruciate ligament reconstruction with anterolateral ligament reconstruction have increased considerably in recent years since several anatomical, clinical, and biomechanical studies have proven the importance of the anterolateral periphery in knee rotational st...

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Autores principales: Santos, Daniel Almeida Neto e, Rocha de Faria, José Leonardo, Carminatti, Tiago, Paula, Rafael Erthal de, Pádua, Vitor Barion Castro de, Pavão, Douglas Melo, LaPrade, Robert F., Helito, Camilo Partezani
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10323918/
https://www.ncbi.nlm.nih.gov/pubmed/37424645
http://dx.doi.org/10.1016/j.eats.2023.02.032
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author Santos, Daniel Almeida Neto e
Rocha de Faria, José Leonardo
Carminatti, Tiago
Paula, Rafael Erthal de
Pádua, Vitor Barion Castro de
Pavão, Douglas Melo
LaPrade, Robert F.
Helito, Camilo Partezani
author_facet Santos, Daniel Almeida Neto e
Rocha de Faria, José Leonardo
Carminatti, Tiago
Paula, Rafael Erthal de
Pádua, Vitor Barion Castro de
Pavão, Douglas Melo
LaPrade, Robert F.
Helito, Camilo Partezani
author_sort Santos, Daniel Almeida Neto e
collection PubMed
description The indications for combining anterior cruciate ligament reconstruction with anterolateral ligament reconstruction have increased considerably in recent years since several anatomical, clinical, and biomechanical studies have proven the importance of the anterolateral periphery in knee rotational stability. Much is still being discussed on how to combine these techniques in terms of which grafts and fixation options to use, as well as avoiding tunnel convergence. This study aims to describe anterior cruciate ligament reconstruction with a triple-bundle semitendinosus tendon graft all-inside technique combined with an anterolateral ligament reconstruction maintaining the gracilis tendon insertion on the tibia, using independent anatomical tunnels. With this, we were able to reconstruct both using only hamstring autografts, reducing morbidity in other possible donor areas, in addition to allowing stable fixation of both grafts without tunnel convergence.
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spelling pubmed-103239182023-07-07 Combined All-Inside Anterior Cruciate Ligament Reconstruction With Semitendinosus Plus Anterolateral Ligament Reconstruction With Intact Gracilis Tibial Insertion and Transtibial Passage Santos, Daniel Almeida Neto e Rocha de Faria, José Leonardo Carminatti, Tiago Paula, Rafael Erthal de Pádua, Vitor Barion Castro de Pavão, Douglas Melo LaPrade, Robert F. Helito, Camilo Partezani Arthrosc Tech Technical Note The indications for combining anterior cruciate ligament reconstruction with anterolateral ligament reconstruction have increased considerably in recent years since several anatomical, clinical, and biomechanical studies have proven the importance of the anterolateral periphery in knee rotational stability. Much is still being discussed on how to combine these techniques in terms of which grafts and fixation options to use, as well as avoiding tunnel convergence. This study aims to describe anterior cruciate ligament reconstruction with a triple-bundle semitendinosus tendon graft all-inside technique combined with an anterolateral ligament reconstruction maintaining the gracilis tendon insertion on the tibia, using independent anatomical tunnels. With this, we were able to reconstruct both using only hamstring autografts, reducing morbidity in other possible donor areas, in addition to allowing stable fixation of both grafts without tunnel convergence. Elsevier 2023-05-15 /pmc/articles/PMC10323918/ /pubmed/37424645 http://dx.doi.org/10.1016/j.eats.2023.02.032 Text en © 2023 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Technical Note
Santos, Daniel Almeida Neto e
Rocha de Faria, José Leonardo
Carminatti, Tiago
Paula, Rafael Erthal de
Pádua, Vitor Barion Castro de
Pavão, Douglas Melo
LaPrade, Robert F.
Helito, Camilo Partezani
Combined All-Inside Anterior Cruciate Ligament Reconstruction With Semitendinosus Plus Anterolateral Ligament Reconstruction With Intact Gracilis Tibial Insertion and Transtibial Passage
title Combined All-Inside Anterior Cruciate Ligament Reconstruction With Semitendinosus Plus Anterolateral Ligament Reconstruction With Intact Gracilis Tibial Insertion and Transtibial Passage
title_full Combined All-Inside Anterior Cruciate Ligament Reconstruction With Semitendinosus Plus Anterolateral Ligament Reconstruction With Intact Gracilis Tibial Insertion and Transtibial Passage
title_fullStr Combined All-Inside Anterior Cruciate Ligament Reconstruction With Semitendinosus Plus Anterolateral Ligament Reconstruction With Intact Gracilis Tibial Insertion and Transtibial Passage
title_full_unstemmed Combined All-Inside Anterior Cruciate Ligament Reconstruction With Semitendinosus Plus Anterolateral Ligament Reconstruction With Intact Gracilis Tibial Insertion and Transtibial Passage
title_short Combined All-Inside Anterior Cruciate Ligament Reconstruction With Semitendinosus Plus Anterolateral Ligament Reconstruction With Intact Gracilis Tibial Insertion and Transtibial Passage
title_sort combined all-inside anterior cruciate ligament reconstruction with semitendinosus plus anterolateral ligament reconstruction with intact gracilis tibial insertion and transtibial passage
topic Technical Note
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10323918/
https://www.ncbi.nlm.nih.gov/pubmed/37424645
http://dx.doi.org/10.1016/j.eats.2023.02.032
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