Anatomic Posterolateral Corner Reconstruction Using Semitendinosus and Gracilis Autografts: Surgical Technique
An anatomically based posterolateral corner (PLC) reconstruction has emerged as a viable and clinically effective surgical technique for midsubstance ligamentous injuries in both the acute and chronic settings. There are several surgical techniques for PLC reconstruction; however, the classic anatom...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-02-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628720303157 |
| _version_ | 1818448406879666176 |
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| author | Santiago Pache, M.D. Martín Sienra, M.D. Diego Larroque, M.D. Rodrigo Talamás, M.D. Zachary S. Aman, B.A. Eduardo Vilensky, M.D. Robert F. LaPrade, M.D., Ph.D. |
| author_facet | Santiago Pache, M.D. Martín Sienra, M.D. Diego Larroque, M.D. Rodrigo Talamás, M.D. Zachary S. Aman, B.A. Eduardo Vilensky, M.D. Robert F. LaPrade, M.D., Ph.D. |
| author_sort | Santiago Pache, M.D. |
| collection | DOAJ |
| description | An anatomically based posterolateral corner (PLC) reconstruction has emerged as a viable and clinically effective surgical technique for midsubstance ligamentous injuries in both the acute and chronic settings. There are several surgical techniques for PLC reconstruction; however, the classic anatomic reconstruction technique (LaPrade technique) is now considered the gold standard and was originally described using an Achilles tendon allograft. In this article, we describe a modified LaPrade autograft technique, in which the same tunnel position, graft passage, and fixation are used to reproduce the 3 primary stabilizers of the PLC. Instead of allografts, hamstring autografts are used while tunnel diameters and fixation devices are adapted to them. With the use of autograft tendons, difficulties related to graft length or asymmetry are encountered. We consider this technique a good alternative for an anatomically based PLC reconstruction, especially given the lower availability and higher cost of allograft tissues in several countries. |
| first_indexed | 2024-12-14T20:19:01Z |
| format | Article |
| id | doaj.art-0781a142debb4d899cd1ad21a3d4e85f |
| institution | Directory Open Access Journal |
| issn | 2212-6287 |
| language | English |
| last_indexed | 2024-12-14T20:19:01Z |
| publishDate | 2021-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj.art-0781a142debb4d899cd1ad21a3d4e85f2022-12-21T22:48:46ZengElsevierArthroscopy Techniques2212-62872021-02-01102e487e497Anatomic Posterolateral Corner Reconstruction Using Semitendinosus and Gracilis Autografts: Surgical TechniqueSantiago Pache, M.D.0Martín Sienra, M.D.1Diego Larroque, M.D.2Rodrigo Talamás, M.D.3Zachary S. Aman, B.A.4Eduardo Vilensky, M.D.5Robert F. LaPrade, M.D., Ph.D.6Department of Orthopedic Surgery, Centro Asistencial del Sindicato Médico del Uruguay (CASMU), Montevideo, Uruguay; Address correspondence to Santiago Pache, M.D., Department of Orthopedic Surgery, Centro Asistencial del Sindicato Médico del Uruguay (CASMU), Av 8 de Octubre y Av Abreu, Montevideo, Uruguay.Department of Orthopedic Surgery, Centro Asistencial del Sindicato Médico del Uruguay (CASMU), Montevideo, UruguayDepartment of Orthopedic Surgery, Centro Asistencial del Sindicato Médico del Uruguay (CASMU), Montevideo, UruguayDepartment of Orthopedic Surgery, Centro Asistencial del Sindicato Médico del Uruguay (CASMU), Montevideo, UruguaySidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania, U.S.A.Department of Orthopedic Surgery, Centro Asistencial del Sindicato Médico del Uruguay (CASMU), Montevideo, UruguayTwin Cities Orthopedics, Edina, Minnesota, U.S.A.An anatomically based posterolateral corner (PLC) reconstruction has emerged as a viable and clinically effective surgical technique for midsubstance ligamentous injuries in both the acute and chronic settings. There are several surgical techniques for PLC reconstruction; however, the classic anatomic reconstruction technique (LaPrade technique) is now considered the gold standard and was originally described using an Achilles tendon allograft. In this article, we describe a modified LaPrade autograft technique, in which the same tunnel position, graft passage, and fixation are used to reproduce the 3 primary stabilizers of the PLC. Instead of allografts, hamstring autografts are used while tunnel diameters and fixation devices are adapted to them. With the use of autograft tendons, difficulties related to graft length or asymmetry are encountered. We consider this technique a good alternative for an anatomically based PLC reconstruction, especially given the lower availability and higher cost of allograft tissues in several countries.http://www.sciencedirect.com/science/article/pii/S2212628720303157 |
| spellingShingle | Santiago Pache, M.D. Martín Sienra, M.D. Diego Larroque, M.D. Rodrigo Talamás, M.D. Zachary S. Aman, B.A. Eduardo Vilensky, M.D. Robert F. LaPrade, M.D., Ph.D. Anatomic Posterolateral Corner Reconstruction Using Semitendinosus and Gracilis Autografts: Surgical Technique Arthroscopy Techniques |
| title | Anatomic Posterolateral Corner Reconstruction Using Semitendinosus and Gracilis Autografts: Surgical Technique |
| title_full | Anatomic Posterolateral Corner Reconstruction Using Semitendinosus and Gracilis Autografts: Surgical Technique |
| title_fullStr | Anatomic Posterolateral Corner Reconstruction Using Semitendinosus and Gracilis Autografts: Surgical Technique |
| title_full_unstemmed | Anatomic Posterolateral Corner Reconstruction Using Semitendinosus and Gracilis Autografts: Surgical Technique |
| title_short | Anatomic Posterolateral Corner Reconstruction Using Semitendinosus and Gracilis Autografts: Surgical Technique |
| title_sort | anatomic posterolateral corner reconstruction using semitendinosus and gracilis autografts surgical technique |
| url | http://www.sciencedirect.com/science/article/pii/S2212628720303157 |
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