Combined Anterior Cruciate Ligament Arthroscopic Reconstruction and Lateral Tenodesis Using Iliotibial Band Augmented With Gracilis Tendon

The iliotibial band autograft as a primary reconstruction graft for anterior cruciate ligament reconstruction was published by Hey-Groves et al. in the 1910s and popularized by MacIntosh et al. in 1970s using an over-the-top technique. The scientific community, however, lost interest in the procedur...

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Bibliographic Details
Main Authors: Sylvain Aubret, M.D., Christian Lutz, M.D., François Batisse, M.D., Emmanuel Lamglait, M.D., Charles Casin, M.D., William Van Hille, M.D.
Format: Article
Language:English
Published: Elsevier 2025-04-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628724005449
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Summary:The iliotibial band autograft as a primary reconstruction graft for anterior cruciate ligament reconstruction was published by Hey-Groves et al. in the 1910s and popularized by MacIntosh et al. in 1970s using an over-the-top technique. The scientific community, however, lost interest in the procedure. Recently, anatomical and biomechanical studies on the anterolateral structures have renewed the scientific interest on extra-articular tenodesis. To obtain a larger intra-articular graft diameter and thus improve long-term results, we propose a modified version of the technique initially described. This article describes a technique that allows for a combined anterior cruciate ligament and anterolateral reconstruction using an iliotibial band autograft reinforced with a gracilis tendon autograft to increase the diameter.
ISSN:2212-6287