Anatomic Combined Anterior Cruciate Ligament and Antero-Lateral Ligament Reconstruction Using Autologous Gracilis and Semitendinosus Graft With Single Tibial and Femoral Tunnel

Daniele Screpis; Marco Baldini; Stefano Magnanelli; Andrea Amarossi; Gianluca Piovan; Simone Natali; Claudio Zorzi

doi:10.1016/j.eats.2022.10.015

Anatomic Combined Anterior Cruciate Ligament and Antero-Lateral Ligament Reconstruction Using Autologous Gracilis and Semitendinosus Graft With Single Tibial and Femoral Tunnel

Arthrosc Tech. 2023 Jan 18;12(2):e255-e259. doi: 10.1016/j.eats.2022.10.015. eCollection 2023 Feb.

Authors

Daniele Screpis¹, Marco Baldini², Stefano Magnanelli¹, Andrea Amarossi³, Gianluca Piovan¹, Simone Natali¹, Claudio Zorzi¹

Affiliations

¹ IRCCS Ospedale Sacro Cuore - Don Calabria, Negrar di Valpolicella, Italia.
² Clinica Ortopedica dell'Adulto e Pediatrica, Università Politecnica delle Marche, Ancona, Italia.
³ Department of Orthopedics and Trauma Surgery, University of Verona, Verona, Italy.

Abstract

Anterior cruciate ligament (ACL) injuries are among the most common lesions in orthopaedics practice, but still today, rates up to 24% of unsatisfactory results are reported. Unaddressed anterolateral complex (ALC) injuries have been claimed to be responsible for residual anterolateral rotatory instability (ALRI) after isolate ACL reconstruction and have demonstrated to increase graft failure. In this article, we present our technique for reconstruction of the ACL and anterolateral (ALL) ligament combining the advantages of the anatomical position and the intraosseous femoral fixation to ensure anteroposterior and anterolateral rotational stability.