Anterior Cruciate Ligament Reconstruction Using Combined Graft of Hamstring and Fascia Lata With Extra-articular Tenodesis. A Technique in Case of Insufficient Hamstrings

Autor: Alejandro Espejo-Reina, M.D., M.Sc., María Josefa Espejo-Reina, M.D., Maximiano Lombardo-Torre, M.D., Joaquina Ruiz-Del Pino, M.D., Ph.D., Alejandro Espejo-Baena, M.D.
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Arthroscopy Techniques, Vol 9, Iss 11, Pp e1657-e1663 (2020)
Druh dokumentu: article
ISSN: 2212-6287
DOI: 10.1016/j.eats.2020.07.007
Popis: A technique for augmentation of the anterior cruciate ligament (ACL) with hamstring graft and lateral extra-articular tenodesis is presented. The patient is positioned supine with the knee flexed 90°. First, intra-articular injuries are addressed arthroscopically, and then autologous hamstring tendons are harvested and measured; the present technique is a resource for cases with a very small graft diameter (less than 8 mm), due to thin tendons or to tendon breakage, even after tripling the hamstring graft, which is prepared using a facia lata strip long enough to fit the lengths of the femoral tunnel, the anterior cruciate ligament graft, and the tibial tunnel. A single femoral tunnel is performed and only 2 interference screws are needed for fixation.
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