Hybrid Remnant-Sparing Anterior Cruciate Ligament Repair-Reconstruction.
expert_opinion · Level V
Where this comes from
- Record sourced from PubMed, PMID 34336569.
- Also identified by DOI 10.1016/j.eats.2021.03.019 and PMC identifier 8322566.
- Licence recorded as CC BY-NC-ND.
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Abstract
In anterior cruciate ligament (ACL) reconstruction, the remnant ACL is often debrided in an effort to improve visualization of patient anatomy and reduce surgical difficulty. However, retention of the tibial remnant of a torn ACL theoretically portends several advantages. These include preservation of knee proprioception and mechanoreceptors, an enhanced biological environment for healing, and accelerated revascularization and ligamentization of the graft. Despite these advantages, it is not a widely adopted practice and the optimal technique is still subject to debate. The purpose of this technical note is to describe our preferred technique for performing hybrid ACL reconstruction with remnant incorporation.