Simultaneous Reconstruction of Anterior Cruciate Ligament with Autologous Tendon Grafts and Medial Collateral Ligament with Allograft

Abstract

Objectives:Our objective is to show our surgical technique and experience in the combined reconstruction of ACL with autograft (either BTB or STGT) and MCL with allograft. (Aquiles Tendon)Methods:Twenty eight (28) patients, with an average age of 29,5, to whom an ACL and an MCL reconstruction with auto graft and allogeneic graft respectively was performed. These patients experienced residual internal instability after conservative treatment.Average follow-up was 19.6 months.Range of motion, joint laxity and subjective functionality were evaluated whit Lysholm scores and International Knee Documentation Committee (IKDC).Results:The Average Lysholm knee score was 93, while all the patients were classified A/B according to the IKDC and were able to return to their normal sport and daily activity.Conclusion:Nowadays various reconstructive techniques of anterior cruciate ligament (ACL) and of medial collateral ligament (MCL) are being utilized.Over the years the use of allografts have become common due to their safety, accesibility and satisfactory functional results.In multi-ligament injuries the single use of allografts or in combination with autologous grafts have become a valid resource.The lower risk of morbidity from the donor zone, the lower exposure of tissues, the lower postoperative pain with the MCL allogeneic graft at a low cost and greater security with ACL autologous graft have turned this surgical technique in a viable option for multi-ligament injured knee reconstruction.