ArticleArthroscopy techniques2022
Over-The-Top Technique for Revision ACL Reconstruction with Achilles Allograft and Associated Lateral Extra-articular Tenodesis.
Article in Arthroscopy techniques, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- APKASS 2024 consensus statement on anterior cruciate ligament reconstruction, Part II: Management of anterior cruciate ligament revision in adults.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2026Article
- [Chinese expert consensus on anterior cruciate ligament reconstruction using the over-the-top technique (2025 edition)].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026Article
- Augmented Over-The-Top Technique for Revision Anterior Cruciate Ligament Reconstruction.Arthroscopy techniques · 2025Article
- Minimally Invasive Intra-Articular Anterior Cruciate Ligament Reconstruction With Additional Extra-Articular Tenodesis Using Autologous Hamstrings With Over-the-Top Technique.Arthroscopy techniques · 2025Article
- Fixation of Lateral Extra-articular Tenodesis With a Biointegrative Compression Staple.Arthroscopy techniques · 2025Article
- Over-The-Top Technique for ACL Reconstruction: Advantages, Disadvantages, and Postoperative Complications.Orthopaedic surgery · 2025Review
- One-stage revision anterior cruciate ligament reconstruction: Preoperative evaluation, planning and surgical techniques. A review of current concepts.Journal of experimental orthopaedics · 2025Review
- Over-the-Top Double-Bundle Revision Anterior Cruciate Ligament Reconstruction Technique With Hybrid Hamstring Tendon Autograft-Allograft and Associated Lateral Extra-articular Tenodesis.Arthroscopy techniques · 2024Article
- Achilles Allograft Fiber Track Graft Preparation Technique for Anterior Cruciate Ligament Reconstruction.Arthroscopy techniques · 2024Article
- The Original Technique for Tibial Deflexion Osteotomy During Revision Anterior Cruciate Ligament Reconstruction: Surgical Technique.Arthroscopy techniques · 2024Article
- Slope-Reducing High Tibial Osteotomy and Over-The-Top Anterior Cruciate Ligament Reconstruction With Achilles Tendon Allograft in Multiple Failed Anterior Cruciate Ligament Reconstruction.Arthroscopy techniques · 2022Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Revision anterior cruciate ligament reconstruction (ACL-R) is made challenging by the frequent presence of rotatory instability, tunnel malpositioning and widening, and limited autograft options. Lateral extra-articular tenodesis (LET), alternative tunnel routing, and the use of allograft tissue can be used to manage these challenges. This Technical Note describes revision ACL-R using the over-the-top (OTT) technique with Achilles tendon allograft with concomitant LET. The surgical approach involves routing the graft around the posterior aspect of the lateral femoral condyle, and then deep to the iliotibial band to a site just medial to Gerdy's tubercle, with staple fixation on the lateral femur for the ACL-R and anterolateral tibia for the LET. The OTT technique with LET provides a versatile approach for the management of failed ACL-R by circumventing challenges in revision ACL-R and addressing rotatory instability, a contributing factor to prior graft failure.
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Registered trials
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