Outside-In Anterior Cruciate Ligament Revision With Lateral Tenodesis and High-Strength Suture Augmentation Is Easy to Perform With the Iliotibial Band

We describe a technique for revision anterior cruciate ligament (ACL) surgery using a 15-cm strip of the iliotibial band as a graft and the gracilis tendon if available. An internal brace is added to augment the graft. The graft is passed through the femur by drilling an outside-in tunnel from the i...

Descripción completa

Detalles Bibliográficos
Autores principales: Marot, Vincent, Valette, Arnault, Courtot, Louis, Lucena, Thibault, Reina, Nicolas, Cavaignac, Etienne
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Technical Note
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8185809/
https://www.ncbi.nlm.nih.gov/pubmed/34141548
http://dx.doi.org/10.1016/j.eats.2021.01.032
_version_ 1783704842594680832
author Marot, Vincent
Valette, Arnault
Courtot, Louis
Lucena, Thibault
Reina, Nicolas
Cavaignac, Etienne
author_facet Marot, Vincent
Valette, Arnault
Courtot, Louis
Lucena, Thibault
Reina, Nicolas
Cavaignac, Etienne
author_sort Marot, Vincent
collection PubMed
description We describe a technique for revision anterior cruciate ligament (ACL) surgery using a 15-cm strip of the iliotibial band as a graft and the gracilis tendon if available. An internal brace is added to augment the graft. The graft is passed through the femur by drilling an outside-in tunnel from the isometric point F9 of Krackow toward the ACL’s footprint and is then double fixed at the tibia using an interference screw and a cortical button. This technique makes it possible to perform simultaneous ACL reconstruction and lateral tenodesis with a continuous, rigid, good-diameter graft that is pedicled to the Gerdy tubercle. Good rotational control is achieved, and all the factors that contribute to ligamentization are present.
format Online
Article
Text
id pubmed-8185809
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-81858092021-06-16 Outside-In Anterior Cruciate Ligament Revision With Lateral Tenodesis and High-Strength Suture Augmentation Is Easy to Perform With the Iliotibial Band Marot, Vincent Valette, Arnault Courtot, Louis Lucena, Thibault Reina, Nicolas Cavaignac, Etienne Arthrosc Tech Technical Note We describe a technique for revision anterior cruciate ligament (ACL) surgery using a 15-cm strip of the iliotibial band as a graft and the gracilis tendon if available. An internal brace is added to augment the graft. The graft is passed through the femur by drilling an outside-in tunnel from the isometric point F9 of Krackow toward the ACL’s footprint and is then double fixed at the tibia using an interference screw and a cortical button. This technique makes it possible to perform simultaneous ACL reconstruction and lateral tenodesis with a continuous, rigid, good-diameter graft that is pedicled to the Gerdy tubercle. Good rotational control is achieved, and all the factors that contribute to ligamentization are present. Elsevier 2021-04-18 /pmc/articles/PMC8185809/ /pubmed/34141548 http://dx.doi.org/10.1016/j.eats.2021.01.032 Text en © 2021 The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Technical Note
Marot, Vincent
Valette, Arnault
Courtot, Louis
Lucena, Thibault
Reina, Nicolas
Cavaignac, Etienne
Outside-In Anterior Cruciate Ligament Revision With Lateral Tenodesis and High-Strength Suture Augmentation Is Easy to Perform With the Iliotibial Band
title Outside-In Anterior Cruciate Ligament Revision With Lateral Tenodesis and High-Strength Suture Augmentation Is Easy to Perform With the Iliotibial Band
title_full Outside-In Anterior Cruciate Ligament Revision With Lateral Tenodesis and High-Strength Suture Augmentation Is Easy to Perform With the Iliotibial Band
title_fullStr Outside-In Anterior Cruciate Ligament Revision With Lateral Tenodesis and High-Strength Suture Augmentation Is Easy to Perform With the Iliotibial Band
title_full_unstemmed Outside-In Anterior Cruciate Ligament Revision With Lateral Tenodesis and High-Strength Suture Augmentation Is Easy to Perform With the Iliotibial Band
title_short Outside-In Anterior Cruciate Ligament Revision With Lateral Tenodesis and High-Strength Suture Augmentation Is Easy to Perform With the Iliotibial Band
title_sort outside-in anterior cruciate ligament revision with lateral tenodesis and high-strength suture augmentation is easy to perform with the iliotibial band
topic Technical Note
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8185809/
https://www.ncbi.nlm.nih.gov/pubmed/34141548
http://dx.doi.org/10.1016/j.eats.2021.01.032
work_keys_str_mv AT marotvincent outsideinanteriorcruciateligamentrevisionwithlateraltenodesisandhighstrengthsutureaugmentationiseasytoperformwiththeiliotibialband
AT valettearnault outsideinanteriorcruciateligamentrevisionwithlateraltenodesisandhighstrengthsutureaugmentationiseasytoperformwiththeiliotibialband
AT courtotlouis outsideinanteriorcruciateligamentrevisionwithlateraltenodesisandhighstrengthsutureaugmentationiseasytoperformwiththeiliotibialband
AT lucenathibault outsideinanteriorcruciateligamentrevisionwithlateraltenodesisandhighstrengthsutureaugmentationiseasytoperformwiththeiliotibialband
AT reinanicolas outsideinanteriorcruciateligamentrevisionwithlateraltenodesisandhighstrengthsutureaugmentationiseasytoperformwiththeiliotibialband
AT cavaignacetienne outsideinanteriorcruciateligamentrevisionwithlateraltenodesisandhighstrengthsutureaugmentationiseasytoperformwiththeiliotibialband

Ejemplares similares