Knee Anterolateral Ligament Reconstruction With Knotless Soft Anchor: Shallow Fixation Prevents Tunnel Convergence

Timothée Mesnier; Marie Cavaignac; Vincent Marot; Nicolas Reina; Etienne Cavaignac

doi:10.1016/j.eats.2021.11.024

Knee Anterolateral Ligament Reconstruction With Knotless Soft Anchor: Shallow Fixation Prevents Tunnel Convergence

Arthrosc Tech. 2022 Mar 16;11(4):e511-e516. doi: 10.1016/j.eats.2021.11.024. eCollection 2022 Apr.

Authors

Timothée Mesnier¹, Marie Cavaignac², Vincent Marot¹, Nicolas Reina^{1

3}, Etienne Cavaignac^{1

3}

Affiliations

¹ Department of Orthopedic Surgery and Trauma, Toulouse, France.
² Pierre-Paul Riquet Hospital; Clinique rive Gauche, Toulouse, France.
³ Institut de Recherche Riquet (I2R), Toulouse, France.

Abstract

We describe an independent anterolateral ligament reconstruction technique using the gracilis tendon that can be added to any type of anterior cruciate ligament (ACL) reconstruction procedure. No additional tunnels are drilled. The dual-strand graft is attached to the bone cortex with a nonmetallic, knotless anchor using minimally invasive incisions. For the ACL reconstruction, the semitendinosus is attached to the femur with an ENDOBUTTON and to the tibia with a BioComposite interference screw. The ACL remnant is preserved to improve ligamentization, and the ACL graft is pedicled to the tibia to encourage its vascularization.