Anterior Cruciate Ligament Reconstruction and Double Extra-Articular Reinforcement.
case_series · Level IV
Where this comes from
- Record sourced from PubMed, PMID 40547994.
- Also identified by DOI 10.1016/j.eats.2025.103456 and PMC identifier 12177454.
- Licence recorded as CC BY-NC-ND.
- Because redistribution is not established, this page shows the abstract only. Follow the links below for the full text.
Abstract
This study describes a technique for double extra-articular reinforcement associated with anterior cruciate ligament (ACL) reconstruction for patients with both internal and external rotational instability, using reinforcements from the hamstrings and the anterior half of the peroneus longus muscle. The technique involves using 2 reinforcements: one for anterolateral stabilization and the other for anteromedial stabilization. The procedure follows a detailed algorithm for diagnosing rotational instability through physical examination under anesthesia. This approach offers a solution for complex ACL injuries involving bidirectional rotational instability, aiming to optimize knee stability and reduce failure rates in ACL reconstruction.