All-Inside Anterior Cruciate Ligament Reconstruction as a Salvage for Small or Attenuated Hamstring Grafts LCDR Patrick E. Jones, M.D., LCDR Dustin J.

Slides:

Advertisements

Similar presentations

Free Bone Plug Quadriceps Tendon Harvest and Suspensory Button Attachment for Anterior Cruciate Ligament Reconstruction Adrian Todor, M.D., Ph.D., Sergiu.

Advertisements

Enhanced Bone-Tendon-Bone Approach for Open Anterior Cruciate Ligament Replacement With Conservation of the Joint Capsule Sebastian Gottfried Walter,

Bertrand Sonnery-Cottet, M. D. , Matt Daggett, D. O. , M. B. A

Enhanced Bone-Tendon-Bone Approach for Open Anterior Cruciate Ligament Replacement With Conservation of the Joint Capsule Sebastian Gottfried Walter,

Quadruple Semitendinosus Graft Construct and Suspensory Button Fixation for Anterior Cruciate Ligament Reconstruction Alcindo Silva, M.D., Ricardo Sampaio,

Minimally Invasive Combined Anterior and Anterolateral Stabilization of the Knee Using Hamstring Tendons and Adjustable-Loop Suspensory Fixation Device:

Arthroscopically Confirmed Femoral Button Deployment

Applying Cross-Pin System in Both Femoral and Tibial Fixation in Anterior Cruciate Ligament Reconstruction Using Hamstring Tendons Wei Qi, M.D., Yujie.

Achilleas Boutsiadis, M. D. , Christos Karampalis, M. D

A Novel Graft Preparation Technique of the Quadriceps Tendon for Arthroscopic Double- Bundle Anterior Cruciate Ligament Reconstruction Sang Eun Park,

James H. Lubowitz, M.D. Arthroscopy Techniques

Jarret M. Woodmass, M. D. , F. R. C. S. C. , Joshua D. Johnson, M. D

Dean Wang, M. D. , Christopher L. Camp, M. D. , Brian C. Werner, M. D

A Technique of Improved Medial Meniscus Visualization by Anterior Cruciate Ligament Graft Placement in Chronic Anterior Cruciate Deficient Knees Christopher.

Graft Retensioning Technique Using an Adjustable-Loop Fixation Device in Arthroscopic Anterior Cruciate Ligament Reconstruction Joseph T. Gamboa, M.D.,

Ahmad M. Wagih, M.D., M.R.C.S., F.E.O.B., Ahmed M.F. Elguindy, M.D.

Self-flip Technique of the TightRope RT Button for Soft-Tissue Anterior Cruciate Ligament Reconstruction Kengo Harato, M.D., Ph.D., Yasuo Niki, M.D.,

Anatomic Medial Patellofemoral Ligament Reconstruction Without Bone Tunnels or Anchors in the Patella Yehia H. Bedeir, M.B.B.Ch., M.Ch.(Orth), Melissa.

Matt Daggett, D. O. , M. B. A. , Andrea Redler, M. D. , Kevin Witte, D

Assem Mohamed Noureldin Zein, M. D. , Mohamed Ali, M. D

Internal Suture Augmentation Technique to Protect the Anterior Cruciate Ligament Reconstruction Graft Mohamed Aboalata, M.D., Ashraf Elazab, M.D., Abdelsamie.

Mitsuaki Kubota, M. D. , Ph. D. , Ryuichi Ohno, M. D. , Ph. D

All-Epiphyseal, All-Inside Anterior Cruciate Ligament Reconstruction Technique for Skeletally Immature Patients Moira M. McCarthy, M.D., Jessica Graziano,

Jung Ho Noh, M. D. , Ph. D. , Kyoung Ho Yoon, M. D. , Ph. D

Graft Preparation Technique to Optimize Hamstring Graft Diameter for Anterior Cruciate Ligament Reconstruction Brett Fritsch, M.D., Francisco Figueroa,

Avoiding Graft-Tunnel Length Mismatch in Anterior Cruciate Ligament Reconstruction: The Single–Bone Plug Technique Brian Grawe, M.D., Amber Smerina,

A Technique of Superficial Medial Collateral Ligament Reconstruction Using an Adjustable-Loop Suspensory Fixation Device Shaneel Deo, B.H.B.(Hons), M.B.Ch.B.,

Patrick A. Smith, M.D., Jordan A. Bley, B.A. Arthroscopy Techniques

Minimally Invasive Quadriceps Tendon Harvest and Graft Preparation for All-Inside Anterior Cruciate Ligament Reconstruction Harris S. Slone, M.D., William.

The Quad Link Technique for an All-Soft-Tissue Quadriceps Graft in Minimally Invasive, All-Inside Anterior Cruciate Ligament Reconstruction Gregory R.

ACL Reconstruction Basics: Quadruple (4-Strand) Hamstring Autograft Harvest Rachel M. Frank, M.D., Jason T. Hamamoto, B.S., Eamon Bernardoni, B.A., Gregory.

Biologically Augmented Quadriceps Tendon Autograft With Platelet-Rich Plasma for Anterior Cruciate Ligament Reconstruction Jorge Chahla, M.D., Ph.D.,

Combined Anterior Cruciate Ligament, Medial Collateral Ligament, and Posterior Oblique Ligament Reconstruction Through Single Tibial Tunnel Using Hamstring.

Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction With a Free Quadriceps Tendon Autograft Sergiu Caterev, M.D., Dan Viorel Nistor, M.D.,

Anatomic Outside-In Anterior Cruciate Ligament Reconstruction Using a Suspension Device for Femoral Fixation Alejandro Espejo-Baena, M.D., Alejandro.

Combined Anterior Cruciate Ligament and Posterolateral Corner Reconstruction by Hamstring Tendon Autografts Through a Single Femoral Tunnel by Graft-to-Graft.

Riaz Ahmad, F. R. C. S. (Tr&Orth), Narlaka Jayasekera, F. R. C. S

Jefferson Brand, M. D. , Richard Hardy, Ed. D. , A. T. C

Kunbo Park, M. D. , Christopher M. Brusalis, B. A. , Theodore J

Nuno Camelo Barbosa, M. D. , Francisco Guerra-Pinto, M. D

Multiple Looping Technique for Tibial Fixation in Posterior Cruciate Ligament Reconstruction of the Knee Jung Ho Noh, M.D., Ph.D., Kyoung Ho Yoon, M.D.,

Quadriceps Tendon Autograft Anterior Cruciate Ligament Reconstruction With Independent Suture Tape Reinforcement Michael G. Saper, D.O., A.T.C., C.S.C.S.

Attique Vasdev, M. S. , Ashok Rajgopal, M. S. , M. Ch. , F. R. C. S

Arthroscopy Techniques

An Anterior Cruciate Ligament Reconstruction Technique With 4-Strand Semitendinosus Grafts, Using Outside-In Tibial Tunnel Drilling and Suspensory Fixation.

Timothy S. Crall, M.D., Brian B. Gilmer, M.D. Arthroscopy Techniques

Sam K. Yasen, M. B. B. S. , B. Sc. (Hons), M. Sc. (Eng), F. R. C. S

Biologic and Mechanical Augmentation in Anterior Cruciate Ligament Reconstruction: Fibrin Clot Augmentation of 5-Strand Hamstring Autograft Michael H.

Double-Bundle “All-Inside” Posterior Cruciate Ligament Reconstruction

Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction with Hamstring Tendon Autograft through Single Femoral Tunnel and Single Branched Tibial.

Gustavo Vinagre, M. D. , Nicholas I. Kennedy, M. D. , Jorge Chahla, M

Anterolateral Ligament Reconstruction Technique: An Anatomic-Based Approach Jorge Chahla, M.D., Travis J. Menge, M.D., Justin J. Mitchell, M.D., Chase.

Ravi Gupta, M. S. , D. N. B. , M. N. A. M. S. , F. A. M. S. , F. I. M

The Fascia Lata Anterolateral Tenodesis Technique

Matthew R. Prince, D. O. , Michael J. Stuart, M. D. , Alexander H

Augmentation of Anterior Cruciate Ligament Reconstruction With Bone Marrow Concentrate and a Suture Tape Chad Lavender, M.D., Brock Johnson, M.D., Adam.

Minimally Invasive Quadriceps Tendon Harvest and Graft Preparation for All-Inside Anterior Cruciate Ligament Reconstruction Harris S. Slone, M.D., William.

All-Arthroscopic Coracoclavicular Ligament Reconstruction Surgical Technique Using a Semitendinosus Allograft and Tenodesis Screws Xinning Li, M.D.,

Simultaneous Medial and Lateral Patellofemoral Ligament Reconstruction for Combined Medial and Lateral Patellar Subluxation Michael G. Saper, D.O., David.

Brittany M. Woodall, D. O. , Nicholas Elena, M. D. , Joseph T

The Crossing Internal Suture Augmentation Technique to Protect the All-Inside Anterior Cruciate Ligament Reconstruction Graft Mohamed Aboalata, M.D.,

All-Inside Posterior Cruciate Ligament Reconstruction With a GraftLink

Rushyuan Jay Lee, M.D., Theodore J. Ganley, M.D.

Anterolateral Ligament Repair Augmented With Suture Tape in Acute Anterior Cruciate Ligament Reconstruction Edoardo Monaco, M.D., Daniele Mazza, M.D.,

Julio Cesar Gali, M. D. , Ph. D. , Bárbara Lívia C. Serafim, M. S

The Fertilized Anterior Cruciate Ligament: An All-Inside Anterior Cruciate Ligament Reconstruction Augmented With Amnion, Bone Marrow Concentrate, and.

Savan D. Patel, M. D. , Peter J. Boxley, B. A. , Richard W. Kang, M. S

Jordan Ovigue, M.D., Nicolas Graveleau, M.D., Nicolas Bouguennec, M.D.

A Technique of Improved Medial Meniscus Visualization by Anterior Cruciate Ligament Graft Placement in Chronic Anterior Cruciate Deficient Knees Christopher.

Assem Mohamed Noureldin Zein, M. D. , Mohamed Ali, M. D

Presentation transcript:

All-Inside Anterior Cruciate Ligament Reconstruction as a Salvage for Small or Attenuated Hamstring Grafts LCDR Patrick E. Jones, M.D., LCDR Dustin J. Schuett, D.O. Arthroscopy Techniques Volume 7, Issue 5, Pages e453-e457 (May 2018) DOI: 10.1016/j.eats.2017.11.007 Copyright © 2017 Terms and Conditions

Fig 1 Gracilis and semitendinosus tendons have been harvested; their doubled-over width is 7 mm. The ends of both tendons have been whipstitched. Arthroscopy Techniques 2018 7, e453-e457DOI: (10.1016/j.eats.2017.11.007) Copyright © 2017 Terms and Conditions

Fig 2 The longer of the 2 tendons is passed through the no-button tightrope and the stitched ends are passed in opposite directions through the femoral tightrope loop. Arthroscopy Techniques 2018 7, e453-e457DOI: (10.1016/j.eats.2017.11.007) Copyright © 2017 Terms and Conditions

Fig 3 The stitched ends are passed through the tibial side of the tendon on either side of the no-button tightrope using a free needle. Arthroscopy Techniques 2018 7, e453-e457DOI: (10.1016/j.eats.2017.11.007) Copyright © 2017 Terms and Conditions

Fig 4 The shorter tendon is wrapped around the quadrupled tendon and marked to the length of the quadrupled tendon, as shown with the blue arrow. The tendon is then cut and re-whipstitched at that level. Arthroscopy Techniques 2018 7, e453-e457DOI: (10.1016/j.eats.2017.11.007) Copyright © 2017 Terms and Conditions

Fig 5 The short tendon is placed inside the quadrupled tendon. Arthroscopy Techniques 2018 7, e453-e457DOI: (10.1016/j.eats.2017.11.007) Copyright © 2017 Terms and Conditions

Fig 6 The short tendon stitches are passed through the end of the quadrupled tendon on either side of the no-button tightrope and next to the stitches for the quadrupled tendon. Arthroscopy Techniques 2018 7, e453-e457DOI: (10.1016/j.eats.2017.11.007) Copyright © 2017 Terms and Conditions

Fig 7 The strands can be independently tensioned and the graft put on stretch. Arthroscopy Techniques 2018 7, e453-e457DOI: (10.1016/j.eats.2017.11.007) Copyright © 2017 Terms and Conditions

Fig 8 Using a No. 2 fiberwire or other high strength nonabsorbable suture, 4 circumferential cerclage stitches are placed around the graft starting inside the graft and making sure that the needle passes through every strand of the tendon. Arthroscopy Techniques 2018 7, e453-e457DOI: (10.1016/j.eats.2017.11.007) Copyright © 2017 Terms and Conditions

Fig 9 The completed graft has 4 cerclage stitches at 10 and 20 mm from either end of the graft. The shorter tendon is enshrouded in the quadrupled tendon providing a tight graft that should pass easily into the tunnels. Arthroscopy Techniques 2018 7, e453-e457DOI: (10.1016/j.eats.2017.11.007) Copyright © 2017 Terms and Conditions