Anatomic Double-Bundle ACL Reconstruction With Extra-articular Anterolateral Ligament Reconstruction and Internal Brace

Overview

Journal Arthrosc Tech

Publisher Elsevier

Date 2021 Mar 19

PMID 33738216

Citations 4

Authors

Chih-Hao Chiu

Jia-En Chi

Po-Hua Huang

Shih-Sheng Chang

Kuo-Yao Hsu

Alvin Chao-Yu Chen

Yi-Sheng Chan

Affiliations

Soon will be listed here.

Abstract

Anterior cruciate ligament reconstruction (ACLR) with additional procedures could be necessary for patients with increased preoperative pivot shift. Double-bundle (DB) ACLR provides more footprint coverage and recreates the 2 functional anteromedial (AM) and posterolateral (PL) bundles, which are believed to give better joint function and stability than single-bundle (SB) ACLR. Internal brace augmentation with suture tape is proposed along with tendon graft in ACLR to protect the newly reconstructed ligament during rehabilitation. Additional reconstruction with anterolateral ligament (ALL) during ACLR has shown significant reduction in the level of persistent pivot shift. In Technical Note we present a modified surgical technique of combined anatomic DB ACLR and ALLR with hamstring autograft and internal brace, using button suspensory fixation device and aperture screws. The objective of this technique is to decrease residual anterior and rotational instability after ACLR and ALLR.

Citing Articles

Double-bundle ACL combined with ALL reconstruction for patients at high risk of ACL failure: clinical and radiological results.

Yang C, Chen M, Wang C, Chen A, Hsu K, Chan Y BMC Musculoskelet Disord. 2024; 25(1):594.

PMID: 39069639 PMC: 11285312. DOI: 10.1186/s12891-024-07703-8.

Progress in research on and classification of surgical methods of arthroscopic reconstruction of the ACL and ALL using a shared tendon graft through the femoral tunnel.

Guo Z, Liu F Front Surg. 2024; 10:1292530.

PMID: 38186395 PMC: 10766812. DOI: 10.3389/fsurg.2023.1292530.

Outcomes of Combined Anterior Cruciate Ligament and Anterolateral Ligament Reconstruction According to GNRB Arthrometer Measurement.

Cheng Y, Chiu C, Chen A, Chan Y, Hsu K Medicina (Kaunas). 2023; 59(2).

PMID: 36837568 PMC: 9966521. DOI: 10.3390/medicina59020366.

Arthroscopic anterior talofibular ligament repair with Internal Brace and lasso-loop technique for chronic ankle lateral instability.

Li D, Tang Q, Liu Q, Hu J, Mao M, Deng T Int Orthop. 2022; 46(12):2821-2828.

PMID: 36069956 DOI: 10.1007/s00264-022-05541-8.

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