Editorial Commentary: What to Reinforce When You Have a Small Anterior Cruciate Ligament Graft? Focus on the Anterolateral Side!
Arthroscopy
; 39(7): 1680-1681, 2023 07.
Article
em En
| MEDLINE
| ID: mdl-37286286
ABSTRACT
Many surgeons performing anterior cruciate ligament (ACL) reconstruction have encountered the problem of harvesting small hamstring grafts. For this situation, several options are available such as harvesting contralateral hamstring tendons, reinforce the ACL graft with allografts, take a bone-patellar tendon-bone or quadriceps graft or add an anterolateral ligament reconstruction or lateral extra-articular tenodesis. Recent studies have shown that the presence of a lateral extra-articular procedure might be more important than the thickness of an isolated ACL graft, which is reassuring news. Current evidence suggests that both anterolateral ligament reconstruction and modified Lemaire tenodesis are similar biomechanically and clinically and could solve the problem of small-diameter hamstring ACL autografts.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Ligamento Patelar
/
Tenodese
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Reconstrução do Ligamento Cruzado Anterior
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Tendões dos Músculos Isquiotibiais
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Lesões do Ligamento Cruzado Anterior
Limite:
Humans
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article