Anterior Cruciate Ligament and Anterolateral Ligament Reconstruction With Pedicular Hamstrings Tendon Graft, Single-Strand Gracilis for ALL and Single Blind Femoral Tunnel

Combined anterior cruciate ligament and anterolateral ligament reconstruction (ACL+ALL r) is a common procedure to treat rotational instability and to prevent ACL graft failure. Recent studies have described numerous combined reconstruction techniques to obtain the most anatomical procedure with the...

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Autores principales: Noailles, Thibaut, Toanen, Cécile, Geffroy, Loïc, Lopes, Ronny, Hardy, Alexandre
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Technical Note
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10390882/
https://www.ncbi.nlm.nih.gov/pubmed/37533915
http://dx.doi.org/10.1016/j.eats.2023.03.003
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author Noailles, Thibaut
Toanen, Cécile
Geffroy, Loïc
Lopes, Ronny
Hardy, Alexandre
author_facet Noailles, Thibaut
Toanen, Cécile
Geffroy, Loïc
Lopes, Ronny
Hardy, Alexandre
author_sort Noailles, Thibaut
collection PubMed
description Combined anterior cruciate ligament and anterolateral ligament reconstruction (ACL+ALL r) is a common procedure to treat rotational instability and to prevent ACL graft failure. Recent studies have described numerous combined reconstruction techniques to obtain the most anatomical procedure with the least graft donor site morbidity and the best clinical results. Hamstring (HG) grafts are the most popular graft in literature. Leaving pedicle HG can preserve enough blood supply to improve tendon-bone healing with additional mechanical fixation of the graft on the tibial side. A single femoral tunnel reduces bone loss and prevents convergence of 2 femoral tunnels. We describe an original ACL and ALL reconstruction technique that preserves hamstring tibial insertion with a single blind femoral tunnel.
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spelling pubmed-103908822023-08-02 Anterior Cruciate Ligament and Anterolateral Ligament Reconstruction With Pedicular Hamstrings Tendon Graft, Single-Strand Gracilis for ALL and Single Blind Femoral Tunnel Noailles, Thibaut Toanen, Cécile Geffroy, Loïc Lopes, Ronny Hardy, Alexandre Arthrosc Tech Technical Note Combined anterior cruciate ligament and anterolateral ligament reconstruction (ACL+ALL r) is a common procedure to treat rotational instability and to prevent ACL graft failure. Recent studies have described numerous combined reconstruction techniques to obtain the most anatomical procedure with the least graft donor site morbidity and the best clinical results. Hamstring (HG) grafts are the most popular graft in literature. Leaving pedicle HG can preserve enough blood supply to improve tendon-bone healing with additional mechanical fixation of the graft on the tibial side. A single femoral tunnel reduces bone loss and prevents convergence of 2 femoral tunnels. We describe an original ACL and ALL reconstruction technique that preserves hamstring tibial insertion with a single blind femoral tunnel. Elsevier 2023-06-19 /pmc/articles/PMC10390882/ /pubmed/37533915 http://dx.doi.org/10.1016/j.eats.2023.03.003 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
Noailles, Thibaut
Toanen, Cécile
Geffroy, Loïc
Lopes, Ronny
Hardy, Alexandre
Anterior Cruciate Ligament and Anterolateral Ligament Reconstruction With Pedicular Hamstrings Tendon Graft, Single-Strand Gracilis for ALL and Single Blind Femoral Tunnel
title Anterior Cruciate Ligament and Anterolateral Ligament Reconstruction With Pedicular Hamstrings Tendon Graft, Single-Strand Gracilis for ALL and Single Blind Femoral Tunnel
title_full Anterior Cruciate Ligament and Anterolateral Ligament Reconstruction With Pedicular Hamstrings Tendon Graft, Single-Strand Gracilis for ALL and Single Blind Femoral Tunnel
title_fullStr Anterior Cruciate Ligament and Anterolateral Ligament Reconstruction With Pedicular Hamstrings Tendon Graft, Single-Strand Gracilis for ALL and Single Blind Femoral Tunnel
title_full_unstemmed Anterior Cruciate Ligament and Anterolateral Ligament Reconstruction With Pedicular Hamstrings Tendon Graft, Single-Strand Gracilis for ALL and Single Blind Femoral Tunnel
title_short Anterior Cruciate Ligament and Anterolateral Ligament Reconstruction With Pedicular Hamstrings Tendon Graft, Single-Strand Gracilis for ALL and Single Blind Femoral Tunnel
title_sort anterior cruciate ligament and anterolateral ligament reconstruction with pedicular hamstrings tendon graft, single-strand gracilis for all and single blind femoral tunnel
topic Technical Note
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10390882/
https://www.ncbi.nlm.nih.gov/pubmed/37533915
http://dx.doi.org/10.1016/j.eats.2023.03.003
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