Graft Reorientation and Lateral Extra-articular Tenodesis in Revision Surgery for Persistent Rotational Instability of a Verticalized Anterior Cruciate Ligament Graft.

Lombardo-Torre, Maximiano; Espejo-Reina, Alejandro; Sevillano-Pérez, Enrique; Verdejo-Parrilla, Miguel; Espejo-Reina, María Josefa; Espejo-Baena, Alejandro · Arthrosc Tech · 2024

case_series · Level IV

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Abstract

Persistent rotational instability after anterior cruciate ligament reconstruction is a relatively common postoperative complication, typically associated with graft verticalization due to improper femoral tunnel placement, especially with classic transtibial femoral tunnel techniques. This article describes a technique designed to reorient a verticalized anterior cruciate ligament graft at its femoral insertion to a more anatomic position in the coronal and sagittal planes, aiming to restore knee stability without the need for a complete revision operation. Additionally, a lateral extra-articular tenodesis with fascia lata is added to reinforce rotational stability.