Anterior Cruciate Ligament Reconstruction With Preservation of Femoral Anterior Cruciate Ligament Stump

Anterior cruciate ligament (ACL) reconstruction with preservation of either the remnant or the tibial stump is performed with the hope of improving the vascularization and proprioceptive function of the graft. Remnant preservation is technically difficult because it hinders the visualization of the...

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Main Authors: Hira Lal Nag, M.S.Orth., Himanshu Gupta, M.S.Orth.
Format: Article
Language:English
Published: Elsevier 2014-10-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628714000784
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author Hira Lal Nag, M.S.Orth.
Himanshu Gupta, M.S.Orth.
author_facet Hira Lal Nag, M.S.Orth.
Himanshu Gupta, M.S.Orth.
author_sort Hira Lal Nag, M.S.Orth.
collection DOAJ
description Anterior cruciate ligament (ACL) reconstruction with preservation of either the remnant or the tibial stump is performed with the hope of improving the vascularization and proprioceptive function of the graft. Remnant preservation is technically difficult because it hinders the visualization of the intra-articular tunnel site. Taking a cue from the concept of tibial stump preservation, we have modified our ACL reconstruction technique to preserve a sleeve of the soft tissue and ACL stump attached to the femoral condyle, in addition to tibial stump preservation, while still allowing adequate visualization of the femoral ACL insertion site. We describe our modification in this article and hypothesize that this should further improve graft vascularization and ligamentization.
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spelling doaj.art-c9b1dff42eff42679f9401b9caa449bb2022-12-21T22:27:22ZengElsevierArthroscopy Techniques2212-62872014-10-0135e575e577Anterior Cruciate Ligament Reconstruction With Preservation of Femoral Anterior Cruciate Ligament StumpHira Lal Nag, M.S.Orth.0Himanshu Gupta, M.S.Orth.1Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India; Address correspondence to H. L. Nag, M.S.Orth., Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, 110029, India.Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India; Department of Orthopaedics, Glasgow Royal Infirmary, Glasgow, ScotlandAnterior cruciate ligament (ACL) reconstruction with preservation of either the remnant or the tibial stump is performed with the hope of improving the vascularization and proprioceptive function of the graft. Remnant preservation is technically difficult because it hinders the visualization of the intra-articular tunnel site. Taking a cue from the concept of tibial stump preservation, we have modified our ACL reconstruction technique to preserve a sleeve of the soft tissue and ACL stump attached to the femoral condyle, in addition to tibial stump preservation, while still allowing adequate visualization of the femoral ACL insertion site. We describe our modification in this article and hypothesize that this should further improve graft vascularization and ligamentization.http://www.sciencedirect.com/science/article/pii/S2212628714000784
spellingShingle Hira Lal Nag, M.S.Orth.
Himanshu Gupta, M.S.Orth.
Anterior Cruciate Ligament Reconstruction With Preservation of Femoral Anterior Cruciate Ligament Stump
Arthroscopy Techniques
title Anterior Cruciate Ligament Reconstruction With Preservation of Femoral Anterior Cruciate Ligament Stump
title_full Anterior Cruciate Ligament Reconstruction With Preservation of Femoral Anterior Cruciate Ligament Stump
title_fullStr Anterior Cruciate Ligament Reconstruction With Preservation of Femoral Anterior Cruciate Ligament Stump
title_full_unstemmed Anterior Cruciate Ligament Reconstruction With Preservation of Femoral Anterior Cruciate Ligament Stump
title_short Anterior Cruciate Ligament Reconstruction With Preservation of Femoral Anterior Cruciate Ligament Stump
title_sort anterior cruciate ligament reconstruction with preservation of femoral anterior cruciate ligament stump
url http://www.sciencedirect.com/science/article/pii/S2212628714000784
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