Secondary Restraints in ACL Reconstruction: State of the Art

Adnan Saithna; Camilo Partezani Helito; Hamid Rahmatullah Bin Abd Razak; Riccardo Cristiani

doi:10.1016/j.jisako.2024.05.001

Secondary Restraints in ACL Reconstruction: State of the Art

J ISAKOS. 2024 May 9:S2059-7754(24)00088-9. doi: 10.1016/j.jisako.2024.05.001. Online ahead of print.

Authors

Adnan Saithna¹, Camilo Partezani Helito², Hamid Rahmatullah Bin Abd Razak³, Riccardo Cristiani⁴

Affiliations

¹ AZBSC Orthopedics, 7649 E Pinnacle Peak Rd, Scottsdale, Arizona, USA 85255. Electronic address: adnan.saithna@gmail.com.
² Grupo de Joelho, Instituto de Ortopedia e Traumatologia, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, Rua Dr. Ovídio Pires de Campos, 333 - Cerqueira Cesar, São Paulo, SP, CEP: 05403-010, Brazil; Hospital Sírio Libanês, Rua Dona Adma Jafet, 91 - Bela Vista, São Paulo, SP, CEP 01308-050, Brazil.
³ Department of Orthopaedic Surgery, Sengkang General Hospital, 110 Sengkang East Way, Singapore 544886; SingHealth Duke-NUS Musculoskeletal Sciences Academic Clinical Programme, 20 College Road, Academia Level 4, Singapore 169865.
⁴ Department of Molecular Medicine and Surgery, Stockholm Sports Trauma Research Center, Karolinska Institutet, Stockholm, Sweden; Capio Artro Clinic, FIFA Medical Centre of Excellence, Sophiahemmet Hospital, Valhallavägen 91, 11486, Stockholm, Sweden.

PMID: 38734309
DOI: 10.1016/j.jisako.2024.05.001

Abstract

At-risk patients continue to experience a high likelihood of graft rupture after anterior cruciate ligament (ACL) reconstruction (ACLR). This narrative review seeks to provide the reader with an evidence-based synopsis of state-of-the-art concepts related to secondary restraint lesions, and how addressing them surgically might result in improved outcomes of ACLR.

Keywords: Anterior Cruciate Ligament Reconstruction; Anterolateral Ligament; Medial Collateral Ligament; Meniscus Tear; Ramp Lesion; Secondary Restraints.

Publication types

Review