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2021, Number 3

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Ortho-tips 2021; 17 (3)

Experience in anterior cruciate ligament reconstruction using hamstring autograft with preserved insertion and anatomical femoral tunnel outside-in drilling

Salazar LJN, Rodríguez PAH, Yáñez MLG, Elizalde PJM, Vázquez-Vela E?, Marín YF, De TOG

Language: English/Spanish [Versión en español]
References: 12
Page: 138-142
PDF size: 243.78 Kb.


ABSTRACT

Despite of the controversies with the different techniques for anterior cruciate ligament reconstruction, a good option is a surgery using hamstring autograft with tibial preserved insertion, anatomical femoral tunnel outside-inside drilling and femoral fixation with an extra-articular interference screw. Because a graft without disinsertion preserves its biological properties, improving proprioception. In addition, the outside-in drilling technique allows to make an horizontal tunnel, achieving a greater graft bending angle that improves anteroposterior-rotational stability and reduces stress on the plasty. Finally, we prefer to use interference screws, considering that it is a reliable system that survive the passage of time and is the only system that allows to keep graft insertion. We share our experience with 32 procedures.


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