Anterior Cruciate Ligament Reconstruction Using Combined Graft of Hamstring and Fascia Lata With Extra-articular Tenodesis. A Technique in Case of Insufficient Hamstrings
Abstrak
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.
Topik & Kata Kunci
Penulis (5)
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.
Format Sitasi
Akses Cepat
- Tahun Terbit
- 2020
- Sumber Database
- DOAJ
- DOI
- 10.1016/j.eats.2020.07.007
- Akses
- Open Access ✓