Single AnteroMedial Bundle Biological Augmentation: SAMBBA Plus Technique for Combined ACL Repair and Reconstruction.

Hopper, Graeme P; Philippe, Corentin; El Helou, Abdo; Campos, Joao Pedro; Vieira, Thais Dutra; Döbele, Stefan; Sonnery-Cottet, Bertrand · Arthrosc Tech · 2023

expert_opinion · Level V

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Abstract

This technical note presents the single-anteromedial bundle biological augmentation (SAMBBA)-plus technique, which is a combined anterior cruciate ligament (ACL) repair and ACL reconstruction. Preservation of the native ACL fibers improves vascularity by encircling the ACL graft with synovium that is abundant in vascular-derived stem cells. Retaining the proprioceptive fibers of the native ACL can improve the recovery of joint positioning.