| Autor: |
Zakk M. Borton, B.M.B.S., B.Med.Sci.(Hons.), Sam K. Yasen, M.B.B.S., B.Sc.(Hons.), M.Sc.(Eng.), F.R.C.S. Tr. & Orth., Dip. S.E.M., Edward M. Britton, M.B.B.S., B.Sc., F.R.C.S. Tr. & Orth., Samuel R. Heaton, M.B.B.S., B.Sc.(Hons.), M.Sc.(Eng.), F.R.C.S. Tr. & Orth., Harry C. Palmer, M.Sc., L.L.B.(Law), Adrian J. Wilson, M.B.B.S., B.Sc.(Hons.), F.R.C.S. Tr. & Orth. |
| Jazyk: |
angličtina |
| Rok vydání: |
2017 |
| Předmět: |
|
| Zdroj: |
Arthroscopy Techniques, Vol 6, Iss 2, Pp e331-e339 (2017) |
| Druh dokumentu: |
article |
| ISSN: |
2212-6287 |
| DOI: |
10.1016/j.eats.2016.10.007 |
| Popis: |
The anterior cruciate ligament (ACL) is the most commonly injured knee ligament, particularly among adolescents and young adults. Unrecognized posterolateral laxity is understood as a major cause of ACL reconstruction failure, and concomitant injury to the posterolateral corner (PLC) is prevalent and underdetected. We advocate screening all ACL-deficient knees for PLC injury and present a technique combining minimally invasive PLC reconstruction with anatomic all-inside ACL reconstruction. The combined procedure uses only the ipsilateral hamstring tendons representing a major surgical advantage over traditional management approaches. The semitendinosus is quadrupled and attached to 2 adjustable suspensory cortical fixation devices to form the ACL graft. The gracilis tendon is looped through the fibula head and secured in a single femoral tunnel for the PLC reconstruction via 2 minimally invasive incisions. The use of a single femoral PLC tunnel combined with a single femoral ACL socket minimizes the risk of tunnel convergence. |
| Databáze: |
Directory of Open Access Journals |
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