ArticleArthroscopy techniques2024
Combined Reconstruction of the Anterior Cruciate Ligament and Anterolateral Ligament: Triple-Strand Braided Hamstring Graft for the Anterior Cruciate Ligament and Gracilis Strand for the Anterolateral Ligament With a Single Femoral Tunnel.
Article in Arthroscopy techniques, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Comparative biomechanical strength of autografts for ligament reconstruction: quadriceps, rectus femoris, peroneus longus, patellar, hamstring configurations (quadruple and braided) and iliotibial band: an exploratory cadaveric biomechanical study.BMC musculoskeletal disorders · 2026Article
- Comparable isokinetic quadriceps performance six months after ACL reconstruction with rectus femoris versus hamstring tendon autografts.Journal of experimental orthopaedics · 2025Article
- Evaluation and Management of Knee Dislocations in Low-income Settings: Evidence-based Strategies and Practical Considerations.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025Review
- Combined Anterior Cruciate Ligament and Anterolateral Ligament Reconstruction Using a Rectus Femoris Graft With Anterior Cruciate Ligament-Adjustable Cortical Suspensory Fixation and Single Femoral Tunnel.Arthroscopy techniques · 2025Article
- Over-the-Loop Technique for Combined Anterior Cruciate Ligament Reconstruction and Modified Lemaire Tenodesis: Enhancing Rotational Stability With a Single Femoral Tunnel.Arthroscopy techniques · 2025Article
- Four-Strand Hamstring Braid Graft for Anterior Cruciate Ligament Reconstruction.Arthroscopy techniques · 2025Article
- Minimally Invasive Modified Ellison Procedure for Anterolateral Ligament Reconstruction With Biocomposite Knotless Anchor.Arthroscopy techniques · 2025Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This article presents a surgical technique for combined reconstruction of the anterior cruciate ligament (ACL) and anterolateral ligament (ALL) of the knee using hamstring tendon graft. This approach involves creating a single femoral tunnel and using a triple-strand braided hamstring graft for the ACL and a strand of the gracilis tendon for the ALL. This technique aims to increase strength and improve knee stability, potentially reducing the risk of reinjury. The described method provides anatomic reconstruction of the ACL and ALL and allows for combined reconstruction with just 1 graft donor site. Another advantage is that the triple braided graft takes on a tape-like shape, mimicking the native form of the ACL and theoretically increasing biomechanical strength. Combined reconstruction of the ALL and ACL has shown excellent results in specific patient groups, reducing graft failure and improving outcomes in patients with a high risk of rupture. Thus, we describe a promising option for ligament reconstruction in cases of combined ACL and ALL injuries. This method may be a valuable alternative for orthopaedic surgeons, combining anatomic reconstruction with the use of a single donor site.
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