Outside-In Anterior Cruciate Ligament Revision With Lateral Tenodesis and High-Strength Suture Augmentation Is Easy to Perform With the Iliotibial Band | Zendy

Vincent Marot | Zendy; Arnault Valette | Zendy; Louis Courtot | Zendy; Thibaut Lucena | Zendy; Nicolas Reina | Zendy; Étienne Cavaignac | Zendy

Open Access

Outside-In Anterior Cruciate Ligament Revision With Lateral Tenodesis and High-Strength Suture Augmentation Is Easy to Perform With the Iliotibial Band

Author(s) -

Vincent Marot,

Arnault Valette,

Louis Courtot,

Thibaut Lucena,

Nicolas Reina,

Étienne Cavaignac

Publication year - 2021

Publication title -

arthroscopy techniques

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.66

H-Index - 31

ISSN - 2212-6287

DOI - 10.1016/j.eats.2021.01.032

Subject(s) - medicine , anterior cruciate ligament , surgery , femur , fibrous joint , anterior cruciate ligament reconstruction , tibia , isometric exercise , brace , tendon , engineering , mechanical engineering , physical therapy

We describe a technique for revision anterior cruciate ligament (ACL) surgery using a 15-cm strip of the iliotibial band as a graft and the gracilis tendon if available. An internal brace is added to augment the graft. The graft is passed through the femur by drilling an outside-in tunnel from the isometric point F9 of Krackow toward the ACL's footprint and is then double fixed at the tibia using an interference screw and a cortical button. This technique makes it possible to perform simultaneous ACL reconstruction and lateral tenodesis with a continuous, rigid, good-diameter graft that is pedicled to the Gerdy tubercle. Good rotational control is achieved, and all the factors that contribute to ligamentization are present.

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