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Single femoral tunnel for anterior cruciate ligament reconstruction with bone-patellar tendon-bone graft and lemaire's extra-articular tenodesis as a good alternative for combined anterior cruciate ligament and anterolateral ligament revision surgeries

dc.contributor.authorGoes, Rodrigo Araújo
dc.contributor.authorPereira, Rafael
dc.contributor.authorOliveira, Frederico
dc.contributor.authorCastelhanito, Pedro
dc.contributor.authorSerra Cruz, Raphael
dc.contributor.authorRocha de Faria, José Leonardo
dc.date.accessioned2023-10-18T11:11:27Z
dc.date.available2023-10-18T11:11:27Z
dc.date.issued2023
dc.description© 2023 The Authors. Published by Elsevier Inc. on behalf of the Arthroscopy Association of North America.pt_PT
dc.description.abstractThe literature has shown a significant decrease in failure rates when the anterior cruciate ligament (ACL) reconstruction was associated with an extra-articular reinforcement technique such as the anterolateral ligament (ALL) or the iliotibial band tenodesis (ITBT) using the modified Lemaire technique. As much as there is a progressive decrease in the failure rates of ACL reconstructions when the ALL reconstruction technique is associated, there are still and will be cases that will result in graft rupture. These cases will require more alternatives for revision, which are always challenging for the surgeon, where the lateral approaches represent complicating factors, especially because of the distortion of the lateral anatomy (by the previous approach for ALL reconstruction), previous reconstruction tunnels, and the presence of fixation materials. We present here a safe technique that offers great stability to the fixation of the graft and is easy to perform, using a single tunnel for the passage of the ACL and ITBT grafts, allowing a single fixation for both. In this way, we performed a lower-cost surgery, with a lower risk of lateral condyle fracture and tunnel confluence. This technique is indicated to be used in cases of revision after failure of combined ACL reconstruction with ALL.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationArthrosc Tech. 2023 May 15;12(6):e903-e914pt_PT
dc.identifier.doi10.1016/j.eats.2023.02.026pt_PT
dc.identifier.issn2212-6287
dc.identifier.urihttp://hdl.handle.net/10451/59873
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.relation.publisherversionhttps://www.sciencedirect.com/journal/arthroscopy-techniquespt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.titleSingle femoral tunnel for anterior cruciate ligament reconstruction with bone-patellar tendon-bone graft and lemaire's extra-articular tenodesis as a good alternative for combined anterior cruciate ligament and anterolateral ligament revision surgeriespt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPagee914pt_PT
oaire.citation.issue6pt_PT
oaire.citation.startPagee903pt_PT
oaire.citation.titleArthroscopy Techniquespt_PT
oaire.citation.volume12pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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