Graft choice in combined anterior cruciate ligament and medial collateral ligament reconstruction

There is a concern regarding which grafts should be used in combined anterior cruciate ligament (ACL) and medial collateral ligament (MCL) reconstructions, with a paucity of recommendations focused on this specific topic. Expert opinions suggest the use of allograft-only reconstructions to limit don...

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Detalles Bibliográficos
Autores principales: Figueroa, Francisco, Figueroa, David, Calvo, Rafael, Vaisman, Alex, Espregueira-Mendes, João
Formato: Online Artículo Texto
Lenguaje:English
Publicado: British Editorial Society of Bone and Joint Surgery 2020
Materias:
Sports & Arthroscopy
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7202036/
https://www.ncbi.nlm.nih.gov/pubmed/32377390
http://dx.doi.org/10.1302/2058-5241.5.190049
Descripción
Sumario:There is a concern regarding which grafts should be used in combined anterior cruciate ligament (ACL) and medial collateral ligament (MCL) reconstructions, with a paucity of recommendations focused on this specific topic. Expert opinions suggest the use of allograft-only reconstructions to limit donor-site morbidity or using at least one allograft and one autograft. When a hamstring tendon autograft is harvested, techniques that maintain both the integrity of the sartorius fascia and the gracilis are recommended because of the role that the ST-G-S (semitendinosus-gracilis-sartorius) complex plays in valgus stability in the setting of an MCL-deficient knee. Cite this article: EFORT Open Rev 2020;5:221-225. DOI: 10.1302/2058-5241.5.190049

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