Combined Anterior Cruciate Ligament Repair and Anterolateral Ligament Reconstruction With a Single-Strand Gracilis Graft

Jean-Marie Fayard; Alexandre Penet; Paul-Henri Bauwens; Mathieu Thaunat

doi:10.1016/j.eats.2021.01.041

Combined Anterior Cruciate Ligament Repair and Anterolateral Ligament Reconstruction With a Single-Strand Gracilis Graft

Arthrosc Tech. 2021 Apr 26;10(11):e2607-e2617. doi: 10.1016/j.eats.2021.01.041. eCollection 2021 Nov.

Authors

Jean-Marie Fayard¹, Alexandre Penet¹, Paul-Henri Bauwens¹, Mathieu Thaunat¹

Affiliation

¹ Centre Orthopédique Santy, FIFA Medical Center of Excellence, Ramsay-Générale de Santé, Hôpital Privé Jean Mermoz, Lyon, France.

Abstract

There has been renewed interest in anterior cruciate ligament (ACL) repair procedures in the past decade. Even though ACL reconstruction is still considered the gold standard, ACL repair is an alternative in selected patients. However, the risk of failure owing to isolated ACL repair remains a concern. Intra-articular augmentation has been proposed to protect the repair during the healing period. In the same way, the protective effect of anterolateral ligament reconstruction on the ACL graft is increasingly recognized. We describe a combined ACL repair and anterolateral ligament reconstruction technique with a single-strand gracilis for the intra-articular portion and as an anterolateral graft to protect the ACL repair during the healing phase.