Abstract
Background: Many different surgical techniques are nowadays performed in Anterior Cruciate Ligament (ACL) lesions. Several studies demonstrated that native ACL contains mechanoreceptors that are fundamentals for the proprioception of the knee, which are removed during the standard arthroscopic ACL reconstruction. Material and Methods: This article shows a new arthroscopic way to reinsert an ACL, through a Vycril® #2 wire using a modified Mason-Allen technique, combined with the “healing response technique”, described by Steadman. We recommend this technique for patients with an ACL lesion, detached from his femoral insertion, as suggested by MRI and confirmed by arthroscopic view. Postoperatively the patient must have a knee brace locked at 15-degrees of flexion for the first two weeks with partial weight bearing and prophylaxis of thrombosis with low-molecular-weight heparin until the complete weight bearing; then gradually the flexion will be increased during the next month. Discussion: This new technique permits to maintain the native ACL, reinserted into his anatomical insertion and the mechanoreceptors that are fundamentals for the proprioception, associated with the healing power of the bone marrow cells and blood.
Published Version
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