Graft Reorientation and Lateral Extra-articular Tenodesis in Revision Surgery for Persistent Rotational Instability of a Verticalized Anterior Cruciate Ligament Graft

Overview

Journal Arthrosc Tech

Publisher Elsevier

Date 2024 Mar 4

PMID 38435265

Authors

Maximiano Lombardo-Torre

Alejandro Espejo-Reina

Enrique Sevillano-Perez

Miguel Verdejo-Parrilla

Maria Josefa Espejo-Reina

Alejandro Espejo-Baena

Affiliations

Soon will be listed here.

Abstract

Persistent rotational instability after anterior cruciate ligament reconstruction is a relatively common postoperative complication, typically associated with graft verticalization due to improper femoral tunnel placement, especially with classic transtibial femoral tunnel techniques. This article describes a technique designed to reorient a verticalized anterior cruciate ligament graft at its femoral insertion to a more anatomic position in the coronal and sagittal planes, aiming to restore knee stability without the need for a complete revision operation. Additionally, a lateral extra-articular tenodesis with fascia lata is added to reinforce rotational stability.

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