ArticleArthroscopy techniques2023
The "Candy-Stripe" Graft for Anterior Cruciate Ligament Reconstruction.
Article in Arthroscopy techniques, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Anterior cruciate ligament (ACL) reconstruction is a common surgical procedure; however, graft failure with recurrent instability occurs in a significant percentage of patients. One known predictor of suboptimal outcomes is the diameter of the ACL graft, with grafts less than 8 mm in diameter associated with poorer outcomes. Factors such as graft harvest technique, preparation, and biological remodeling can also affect success. In this regard, a technique for biological ACL reconstruction is presented with a graft preparation protocol called "candy-stripe." This technique involves preserving muscle remnants on the graft and the tibial ACL stump, resulting in a better graft volume, regenerative potential, and knee function. The article presents the step-by-step surgical technique, which differs from the standard technique in some steps. Hamstring tendons are harvested, and the graft is sized and prepared, with up to 1 mm of muscle tissue left attached to the tendon. This technique has the potential to improve the outcomes of ACL reconstruction surgeries.
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