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Surgical technique for intra- and extra-articular ACL reconstruction using the hamstring tendons

Published in N°269 - December 2017
Article viewed 279 times

Surgical technique for intra- and extra-articular ACL reconstruction using the hamstring tendons

By Thomas CUCURULO, Abdou SBIHI, Marie-Laure LOUIS, Jaafar SBIHI, Jean-Pierre FRANCESCHI † in category
ICOS13, 463 rue Paradis 13 008 MARSEILLE / [email protected]

A rotational element in knee instability with tears of the anterior cruciate ligament (ACL) is a long-established fact, and if stand-alone extra-articular lateral tenodesis has proved unreliable for long-term preservation of menisco-cartilaginous tissue at the knee, stand-alone single- or double-bundle ACL reconstruction has also demonstrated its limitations in maintaining rotational control in knee instability.

A rotational element in knee instability with tears of the anterior cruciate ligament (ACL) is a long-established fact, and if stand-alone extra-articular lateral tenodesis has proved unreliable for long-term preservation of menisco-cartilaginous tissue at the knee, stand-alone single- or double-bundle ACL reconstruction has also demonstrated its limitations in maintaining rotational control in knee instability.

Following the model established by Prof. Jean-Henri Jaeger and his technique for intra- and extra-articular reconstruction continuously with the fascia lata, Doctor Jean-Pierre Franceschi has been working with Doctors Pascal Christel and Abdou Sbihi since the late 1990s on the development of a technique for intra- and extra-articular reconstruction using the gracilis and semitendinosus tendons continuously; this permits reconstruction of the ACL in association with lateral tenodesis, with the aim of controlling anterior translation as well as limiting excessive medial rotation of the lateral tibial plateau. Here we invite you to reacquaint yourself with this surgical technique, one of the first to use the hamstring tendons for intra- and extra-articular reconstruction, and developed with the support of FH Orthopedics SAS (Cross Lig technique).

 

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