Anterior Cruciate and Anterolateral Ligament Reconstruction Using Hamstring and Peroneus Longus Tendons: Surgical Technique Description.

Escudeiro de Oliveira, Diego; Picchi Zaccharias, Victor; Mayumi Horita, Melanie; Gabriel Betoni Guglielmetti, Luiz; Duarte Junior, Aires; Baches Jorge, Pedro · Arthrosc Tech · 2021

expert_opinion · Level V

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Abstract

The main objective of this study is to describe a surgical technique that combines intra- and extra-articular techniques using the semitendinosus, gracilis, and peroneus longus to perform reconstruction of the anterior cruciate ligament and anterolateral ligament. This technique offers a more stable, fast, low-cost, and widely accessible procedure and consists of drilling 3 tunnels-1 femoral and 2 tibial tunnels-in which the grafts are fixed with interference screws. The fact that the peroneus longus graft is long and thick allows for robust reconstruction of the aforementioned ligaments.