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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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
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author Figueroa, Francisco
Figueroa, David
Calvo, Rafael
Vaisman, Alex
Espregueira-Mendes, João
author_facet Figueroa, Francisco
Figueroa, David
Calvo, Rafael
Vaisman, Alex
Espregueira-Mendes, João
author_sort Figueroa, Francisco
collection PubMed
description 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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spelling pubmed-72020362020-05-06 Graft choice in combined anterior cruciate ligament and medial collateral ligament reconstruction Figueroa, Francisco Figueroa, David Calvo, Rafael Vaisman, Alex Espregueira-Mendes, João EFORT Open Rev Sports & Arthroscopy 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 British Editorial Society of Bone and Joint Surgery 2020-04-02 /pmc/articles/PMC7202036/ /pubmed/32377390 http://dx.doi.org/10.1302/2058-5241.5.190049 Text en © 2020 The author(s) https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-Non Commercial 4.0 International (CC BY-NC 4.0) licence (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed.
spellingShingle Sports & Arthroscopy
Figueroa, Francisco
Figueroa, David
Calvo, Rafael
Vaisman, Alex
Espregueira-Mendes, João
Graft choice in combined anterior cruciate ligament and medial collateral ligament reconstruction
title Graft choice in combined anterior cruciate ligament and medial collateral ligament reconstruction
title_full Graft choice in combined anterior cruciate ligament and medial collateral ligament reconstruction
title_fullStr Graft choice in combined anterior cruciate ligament and medial collateral ligament reconstruction
title_full_unstemmed Graft choice in combined anterior cruciate ligament and medial collateral ligament reconstruction
title_short Graft choice in combined anterior cruciate ligament and medial collateral ligament reconstruction
title_sort graft choice in combined anterior cruciate ligament and medial collateral ligament reconstruction
topic Sports & Arthroscopy
url 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
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