Quadrupled Semitendinosus ACL Reconstruction Combining Cortical Button in Femur and Interference Screw in Tibia

Publication date: Available online 13 December 2019Source: Arthroscopy TechniquesAuthor(s): Juan Pablo Martinez-Cano, Laura Marcela Zamudio-Castilla, Janio Andres Cuadros-Potes, Laura Catalina Ibarra-Mosquera, Fernando Manuel Mejia-LopezAbstractAnterior cruciate ligament (ACL) reconstruction with hamstring tendons has gained popularity in the past and is the most used type of graft in several national registries. It usually involves the harvest of both gracilis and semitendinosus tendons from the ipsilateral knee. More recently, the use of only 1 of the tendons (semitendinosus) in a tripled or quadrupled arrangement has been described, especially in an all-inside type of reconstruction. Having a thicker tendon with a quadrupled semitendinosus (ST), instead of double gracilis and ST enables to a have a graft with enough diameter to resemble more closely the native ACL and decreases the risk of graft rerupture. This Technical Note aims to present a way of reconstructing the ACL using a quadrupled ST graft, with suspensory cortical button in femur and interference screw in tibia, as an alternative to the all-inside technique.
Source: Arthroscopy Techniques - Category: Surgery Source Type: research