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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...

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Detalles Bibliográficos
Autores principales: Gudas, Rimtautas, Rimkūnas, Augustinas, Staškūnas, Mantas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
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.
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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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