The 25-year experience of over-the-top ACL reconstruction plus extra-articular lateral tenodesis with hamstring tendon grafts: the story so far

Stefano Zaffagnini; Gian Andrea Lucidi; Luca Macchiarola; Piero Agostinone; Maria Pia Neri; Maurilio Marcacci; Alberto Grassi

doi:10.1186/s40634-023-00599-8

The 25-year experience of over-the-top ACL reconstruction plus extra-articular lateral tenodesis with hamstring tendon grafts: the story so far

J Exp Orthop. 2023 Apr 1;10(1):36. doi: 10.1186/s40634-023-00599-8.

Authors

Stefano Zaffagnini¹, Gian Andrea Lucidi¹, Luca Macchiarola², Piero Agostinone³, Maria Pia Neri¹, Maurilio Marcacci⁴, Alberto Grassi¹

Affiliations

¹ Clinica Ortopedica E Traumatologica II, IRCCS Istituto Ortopedico Rizzoli, Via Giulio Cesare Pupilli, 1, Bologna, Italy.
² Ortopedia E Traumatologia, IRCCS Casa Sollievo Della Sofferenza, San Giovanni Rotondo, Italy.
³ Clinica Ortopedica E Traumatologica II, IRCCS Istituto Ortopedico Rizzoli, Via Giulio Cesare Pupilli, 1, Bologna, Italy. piero.agostinone@ior.it.
⁴ Department of Biomedical Sciences, Humanitas University, IRCCS Humanitas Clinical and Research Center, Milan, Italy.

Abstract

This article presents with an evidence based approach, the kinematical rationale, biological evidence and the long term results of the "Over-The-Top" anterior cruciate ligament reconstruction with lateral plasty technique. This surgery was developed more than 25 years ago at the Rizzoli Institute by professor Marcacci and Zaffagnini and it is still widely performed in many orthopedic center worldwide.

Keywords: ACL; Anterior Cruciate Ligament; Lateral Pasty; Over-the-Top; Pivot shift.

Publication types

Review