Knee Anterolateral Ligament Reconstruction With Knotless Soft Anchor: Shallow Fixation Prevents Tunnel Convergence

We describe an independent anterolateral ligament reconstruction technique using the gracilis tendon that can be added to any type of anterior cruciate ligament (ACL) reconstruction procedure. No additional tunnels are drilled. The dual-strand graft is attached to the bone cortex with a nonmetallic,...

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Detalles Bibliográficos
Autores principales: Mesnier, Timothée, Cavaignac, Marie, Marot, Vincent, Reina, Nicolas, Cavaignac, Etienne
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Technical Note
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9051614/
https://www.ncbi.nlm.nih.gov/pubmed/35493031
http://dx.doi.org/10.1016/j.eats.2021.11.024
Descripción
Sumario:We describe an independent anterolateral ligament reconstruction technique using the gracilis tendon that can be added to any type of anterior cruciate ligament (ACL) reconstruction procedure. No additional tunnels are drilled. The dual-strand graft is attached to the bone cortex with a nonmetallic, knotless anchor using minimally invasive incisions. For the ACL reconstruction, the semitendinosus is attached to the femur with an ENDOBUTTON and to the tibia with a BioComposite interference screw. The ACL remnant is preserved to improve ligamentization, and the ACL graft is pedicled to the tibia to encourage its vascularization.

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