Combined anterior cruciate and lateral collateral ligaments reconstruction with ipsilateral hamstring autograft: surgical technique

Abstract

Different surgical techniques have been proposed to reconstruct combined anterior cruciate (ACL) and lateral collateral ligaments (LCL). Although these surgical techniques are reliable and reproducible, the number of autologous grafts needed for the reconstruction could be a limiting factor, especially when patients present with multi-ligament knee injuries and the posterior cruciate ligament is also torn. In addition, some of these techniques are not easy to master and have a steep learning curve. We present a surgical procedure that has been used over the last 18 years to reconstruct combined ACL and LCL injuries and has become a reproducible, feasible and time-efficient procedure to approach combined ACL and LCL injuries using an ipsilateral hamstring autograft.

Anterior cruciate ligament reconstruction in skeletally immature patients is effective: A systematic review

“…This avoids any damage to the femoral physis while drilling a tibial tunnel which is vertical and small limits its impacts on the tibial physis [93]. The transphyseal technique is also the standard in adults consisting of a femoral and a tibia tunnel, where the graft is allocated and fixed [94][95][96]. Unfortunately, given the lack of quantitative data available for inclusion, it was not possible to conduct subgroup analyses according to the surgical approach.…”