All-Inside Anterior Cruciate Ligament Reconstruction as a Salvage for Small or Attenuated Hamstring Grafts

Anterior cruciate ligament (ACL) tears represent one of the most common sports-related injuries in the young population. There are multiple studies showing higher failure rates in the younger population with an allograft supporting the routine use of an autograft. In addition, higher failure rates h...

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Main Authors: LCDRM.D. Patrick E. Jones, M.D., LCDRD.O. Dustin J. Schuett, M.D.
Format: Article
Language:English
Published: Elsevier 2018-05-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628717303869
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author LCDRM.D. Patrick E. Jones, M.D.
LCDRD.O. Dustin J. Schuett, M.D.
author_facet LCDRM.D. Patrick E. Jones, M.D.
LCDRD.O. Dustin J. Schuett, M.D.
author_sort LCDRM.D. Patrick E. Jones, M.D.
collection DOAJ
description Anterior cruciate ligament (ACL) tears represent one of the most common sports-related injuries in the young population. There are multiple studies showing higher failure rates in the younger population with an allograft supporting the routine use of an autograft. In addition, higher failure rates have been shown with grafts narrower than 8 mm in diameter. This places the surgeon in an operative dilemma determining what to do with a narrow graft or an attenuated hamstring during harvest. All-inside ACL reconstruction is a promising technique for reliably creating sufficiently wide grafts without the need for allograft augmentation. The purpose of this Technical Note is to detail a graft preparation using the all-inside technique as a bailout during hamstring autograft ACL when the graft is narrow or one of the tendons is attenuated during harvest.
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spelling doaj.art-900a02d2832a4097afb1ac3e287650162022-12-21T19:23:49ZengElsevierArthroscopy Techniques2212-62872018-05-0175e453e457All-Inside Anterior Cruciate Ligament Reconstruction as a Salvage for Small or Attenuated Hamstring GraftsLCDRM.D. Patrick E. Jones, M.D.0LCDRD.O. Dustin J. Schuett, M.D.1Address correspondence to LCDR Patrick E. Jones, M.D., Naval Hospital Okinawa, PSC 482 box 1600, FPO, Armed Forces Pacific 96362, U.S.A.; Department of Orthopaedic Surgery, United States Naval Hospital Okinawa, FPO, Armed Forces Pacific, U.S.A.Department of Orthopaedic Surgery, United States Naval Hospital Okinawa, FPO, Armed Forces Pacific, U.S.A.Anterior cruciate ligament (ACL) tears represent one of the most common sports-related injuries in the young population. There are multiple studies showing higher failure rates in the younger population with an allograft supporting the routine use of an autograft. In addition, higher failure rates have been shown with grafts narrower than 8 mm in diameter. This places the surgeon in an operative dilemma determining what to do with a narrow graft or an attenuated hamstring during harvest. All-inside ACL reconstruction is a promising technique for reliably creating sufficiently wide grafts without the need for allograft augmentation. The purpose of this Technical Note is to detail a graft preparation using the all-inside technique as a bailout during hamstring autograft ACL when the graft is narrow or one of the tendons is attenuated during harvest.http://www.sciencedirect.com/science/article/pii/S2212628717303869
spellingShingle LCDRM.D. Patrick E. Jones, M.D.
LCDRD.O. Dustin J. Schuett, M.D.
All-Inside Anterior Cruciate Ligament Reconstruction as a Salvage for Small or Attenuated Hamstring Grafts
Arthroscopy Techniques
title All-Inside Anterior Cruciate Ligament Reconstruction as a Salvage for Small or Attenuated Hamstring Grafts
title_full All-Inside Anterior Cruciate Ligament Reconstruction as a Salvage for Small or Attenuated Hamstring Grafts
title_fullStr All-Inside Anterior Cruciate Ligament Reconstruction as a Salvage for Small or Attenuated Hamstring Grafts
title_full_unstemmed All-Inside Anterior Cruciate Ligament Reconstruction as a Salvage for Small or Attenuated Hamstring Grafts
title_short All-Inside Anterior Cruciate Ligament Reconstruction as a Salvage for Small or Attenuated Hamstring Grafts
title_sort all inside anterior cruciate ligament reconstruction as a salvage for small or attenuated hamstring grafts
url http://www.sciencedirect.com/science/article/pii/S2212628717303869
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