Quadrupled Semitendinosus Tendon with Hybrid Tibial Fixation for Anatomic ACL Reconstruction: Surgical Technique Description
JFJ Valles Figueroa, JR Sánchez Déciga, M Olguín Rodríguez* and S Zapata Rivera
1Department of Orthopaedic Surgery, Spanish Hospital, Angeles del Pedregal Hospital, Mexico
*Corresponding Author: M Olguín Rodríguez, Department of Orthopaedic Surgery, Spanish Hospital, Angeles del Pedregal Hospital, Mexico.
Received:
April 22, 2024; Published: June 18, 2024
Abstract
The incidence of Anterior cruciate ligament (ACL) tear is increasing, with an even more prominent increase in female athletes due to predisposing factors. The objective of this study is to present steps to perform a surgical technique for anatomic ACL reconstruction (AACLR) that takes advantage of the clinical and biomechanical benefits of the use of a quadruple semitendinosus graft (ST4) combined with the use of a hybrid tibial fixation. A technique which adapts to the current needs for early and safe rehabilitation and with the ability to overcome anatomical and physiological limitations such as small intercondylar notch and low Bone Mineral Density (BMD) for its application to a further range of adult population. A series of systematized steps are used based on clinical and biomechanical studies, consensus, and international guidelines, which have individually demonstrated good biomechanical and clinical properties for the AACLR.
Keywords: ACL; Reconstruction; Four Bands; Semitendinosus; Graft; Hybrid Tibial Fixation; Anatomic
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