Complex Anterior Cruciate Ligament Revision and Lateral Extra-Articular Tenodesis With Achilles Tendon Allograft: The “Monoloop” Technique

IF 1.2 Q3 ORTHOPEDICS Arthroscopy Techniques Pub Date : 2024-06-01 DOI:10.1016/j.eats.2023.09.002

Mattia Chirico M.D., Zyad Ayman Taha M.D., Mattia Carminati M.D., Roberto Civinini M.D., Fabrizio Matassi M.D.

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Abstract

Revision of anterior cruciate ligament reconstruction (ACL-R) presents many challenges that are not encountered in the primary setting and, therefore, requires thorough preoperative planning. Recently, there has been growing evidence showing that combining the anterolateral ligament (ALL) reconstruction with ACL-R revision reduces the risk of postoperative ACL rupture and meniscal tears, and therefore, the ALL reconstruction becomes essential to a complex ACL revision. The technique that we describe is mainly used in the setting of complex ACL revision with extensive tunnel osteolysis associated with rotational instability of the knee. This article presents a technique for a one-stage complex ACL-R revision combined with ALL reconstruction using an Achilles tendon allograft with a bone plug.

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复杂前交叉韧带翻修术和跟腱同种异体外侧关节外腱鞘切除术：单环 "技术

前交叉韧带重建术（ACL-R）翻修带来了许多在初次手术中不会遇到的挑战，因此需要进行周密的术前规划。近来，越来越多的证据表明，将前外侧韧带（ALL）重建与 ACL-R 翻修术相结合，可降低术后 ACL 破裂和半月板撕裂的风险，因此，ALL 重建成为复杂 ACL 翻修术的关键。我们所描述的技术主要用于复杂前交叉韧带翻修术中与膝关节旋转不稳相关的广泛隧道骨溶解。本文介绍了一种使用带骨塞的跟腱同种异体移植进行单阶段复杂前交叉韧带翻修并结合 ALL 重建的技术。

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