Anatomic Outside-In Reconstruction of the Anterior Cruciate Ligament Using Femoral Fixation with Metallic Interference Screw and Surgical Staples (Agrafe) in the Tibia: An Effective Low-Cost Technique.

Ariel De Lima Diego,Pinto, Dilamar Moreira,De Vasconcelos, Ana Carolina Leite,Gonçalves, Marcelo Carvalho Krause,De Lima, Lana Lacerda,Filho, Carlos Frederico Dias Costa,Teixeira, Rogério Beltrão,Silveira, Leonardo De Lima,Leite, José Alberto Dias,GonçAlves, Romeu Krause,De LéO, ÁLvaro Coelho,De Vasconcelos, Stemberg Martins

doi:10.2174/1874325001711011154

Ariel De Lima Diego, Pinto, Dilamar Moreira + Show 10 more

Open Access

https://doi.org/10.2174/1874325001711011154

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Journal: The open orthopaedics journal	Publication Date: Oct 31, 2017
Citations: 2	License type: CC BY 4.0

Affiliation: Universidade Federal do Ceará

Abstract

Background:An anterior cruciate ligament (ACL) rupture is a frequent injury, with short and long-term consequences if left untreated. With a view to benefitting as many patients as possible and preventing future complications, we created a low-cost ligament reconstruction technique.Method:The present article describes an anatomic ACL reconstruction technique.Results:The technique involves single-band reconstruction, using flexors tendon graft, outside-in tunnel perforation, femoral fixation with metal interference screw and surgical staples (Agrafe) in the longitudinal position.Conclusion:We present a simple, easy-to-reproduce technique that, when executed on patients with good bone quality, primarily in the tibia, is effective and inexpensive, favoring its large scale application.

Highlights

Anterior cruciate ligament (ACL) rupture is one of the most common sports-related orthopedic injuries, with an annual incidence of 35 per 100,000 individuals [1].An ACL rupture can be extremely damaging in young athletes
The aim of the present study is to describe an effective, low-cost ACL reconstruction technique, in which we performed single-band anatomic reconstruction using flexors tendon graft, outside-in tunnel perforation, femoral fixation with metallic interference screw and tibial fixation with surgical staple (Agrafe) in the longitudinal position, anchoring the graft loop (Fig. 1)
The joint is explored arthroscopically, using an anterolateral portal for the arthroscope and an anteromedial portal for the instruments, and the medial wall of the lateral femoral condyle is prepared using a shaver and curette. Both femoral and tibial tunnels are created in an outside-in manner using a generic guide for anatomic ACL reconstruction

Summary

Background

An anterior cruciate ligament (ACL) rupture is a frequent injury, with short and long-term consequences if left untreated. With a view to benefitting as many patients as possible and preventing future complications, we created a low-cost ligament reconstruction technique. Method: The present article describes an anatomic ACL reconstruction technique

Conclusion

INTRODUCTION

TECHNIQUE

DISCUSSION

CONCLUSION