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Large-Diameter Anterior Cruciate Ligament Reconstruction Technique With 8-Strand Semitendinosus and Gracilis Graft
Anterior cruciate ligament (ACL) reconstruction using a single 4-strand semitendinosus graft is a popular technique; unfortunately, the size (diameter) of the graft varies between 7 and 9 mm in many cases. The literature reveals that smaller diameter of the graft determines poorer Knee injury and Os...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8085016/ https://www.ncbi.nlm.nih.gov/pubmed/33981540 http://dx.doi.org/10.1016/j.eats.2020.11.020 |
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author | Gudas, Rimtautas Rimkūnas, Augustinas Staškūnas, Mantas |
author_facet | Gudas, Rimtautas Rimkūnas, Augustinas Staškūnas, Mantas |
author_sort | Gudas, Rimtautas |
collection | PubMed |
description | Anterior cruciate ligament (ACL) reconstruction using a single 4-strand semitendinosus graft is a popular technique; unfortunately, the size (diameter) of the graft varies between 7 and 9 mm in many cases. The literature reveals that smaller diameter of the graft determines poorer Knee injury and Osteoarthritis Outcome Score sport/recreation functional scores and leads to revision surgery. Our Technical Note describes a method of preparing >10-mm size hamstring autografts in all cases while increasing the strength of fixation and covering as much of the anatomical ACL attachment footprint area as possible. We report an anatomic reconstruction technique of ACL with 8-strand semitendinosus and gracilis grafts fixed with 2 suspensory fixation systems—PULLUP (SBM, Lourdes, France). Combined with a complete tibial tunnel outside-in approach, this technique allows a quick and easy ACL reconstruction with a large diameter of the graft and increased stability of the fixation. |
format | Online Article Text |
id | pubmed-8085016 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-80850162021-05-11 Large-Diameter Anterior Cruciate Ligament Reconstruction Technique With 8-Strand Semitendinosus and Gracilis Graft Gudas, Rimtautas Rimkūnas, Augustinas Staškūnas, Mantas Arthrosc Tech Technical Note Anterior cruciate ligament (ACL) reconstruction using a single 4-strand semitendinosus graft is a popular technique; unfortunately, the size (diameter) of the graft varies between 7 and 9 mm in many cases. The literature reveals that smaller diameter of the graft determines poorer Knee injury and Osteoarthritis Outcome Score sport/recreation functional scores and leads to revision surgery. Our Technical Note describes a method of preparing >10-mm size hamstring autografts in all cases while increasing the strength of fixation and covering as much of the anatomical ACL attachment footprint area as possible. We report an anatomic reconstruction technique of ACL with 8-strand semitendinosus and gracilis grafts fixed with 2 suspensory fixation systems—PULLUP (SBM, Lourdes, France). Combined with a complete tibial tunnel outside-in approach, this technique allows a quick and easy ACL reconstruction with a large diameter of the graft and increased stability of the fixation. Elsevier 2021-03-01 /pmc/articles/PMC8085016/ /pubmed/33981540 http://dx.doi.org/10.1016/j.eats.2020.11.020 Text en © 2020 by the Arthroscopy Association of North America. Published by Elsevier. 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 Gudas, Rimtautas Rimkūnas, Augustinas Staškūnas, Mantas Large-Diameter Anterior Cruciate Ligament Reconstruction Technique With 8-Strand Semitendinosus and Gracilis Graft |
title | Large-Diameter Anterior Cruciate Ligament Reconstruction Technique With 8-Strand Semitendinosus and Gracilis Graft |
title_full | Large-Diameter Anterior Cruciate Ligament Reconstruction Technique With 8-Strand Semitendinosus and Gracilis Graft |
title_fullStr | Large-Diameter Anterior Cruciate Ligament Reconstruction Technique With 8-Strand Semitendinosus and Gracilis Graft |
title_full_unstemmed | Large-Diameter Anterior Cruciate Ligament Reconstruction Technique With 8-Strand Semitendinosus and Gracilis Graft |
title_short | Large-Diameter Anterior Cruciate Ligament Reconstruction Technique With 8-Strand Semitendinosus and Gracilis Graft |
title_sort | large-diameter anterior cruciate ligament reconstruction technique with 8-strand semitendinosus and gracilis graft |
topic | Technical Note |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8085016/ https://www.ncbi.nlm.nih.gov/pubmed/33981540 http://dx.doi.org/10.1016/j.eats.2020.11.020 |
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