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Anterior cruciate ligament reconstruction with preservation of femoral anterior cruciate ligament stump.

ABSTRACT: Anterior cruciate ligament (ACL) reconstruction with preservation of either the remnant or the tibial stump is performed with the hope of improving the vascularization and proprioceptive function of the graft. Remnant preservation is technically difficult because it hinders the visualization of the intra-articular tunnel site. Taking a cue from the concept of tibial stump preservation, we have modified our ACL reconstruction technique to preserve a sleeve of the soft tissue and ACL stump attached to the femoral condyle, in addition to tibial stump preservation, while still allowing adequate visualization of the femoral ACL insertion site. We describe our modification in this article and hypothesize that this should further improve graft vascularization and ligamentization.

SUBMITTER: Nag HL

PROVIDER: S-EPMC4246405 | biostudies-literature | 2014 Oct

REPOSITORIES: biostudies-literature

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Anterior cruciate ligament reconstruction with preservation of femoral anterior cruciate ligament stump.

Nag Hira Lal HL Gupta Himanshu H

Arthroscopy techniques 20140915 5

Anterior cruciate ligament (ACL) reconstruction with preservation of either the remnant or the tibial stump is performed with the hope of improving the vascularization and proprioceptive function of the graft. Remnant preservation is technically difficult because it hinders the visualization of the intra-articular tunnel site. Taking a cue from the concept of tibial stump preservation, we have modified our ACL reconstruction technique to preserve a sleeve of the soft tissue and ACL stump attache ...[more]

PMID: 25473609

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