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Updated: Jul 23, 2026
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Published on: April 30, 2014
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Combined Anterior Cruciate Ligament and Anterolateral Ligament Reconstruction Using Suspensory Button Fixation
Alexandre Castro1,2, Levi Reina Fernandes2, Alcindo Silva3
1Department of Orthopaedics and Traumatology, Centro Hospitalar de Entre o Douro e Vouga, Santa Maria da Feira, Portugal.
Arthroscopy Techniques
|February 24, 2025
Summary
This study presents a combined anterior cruciate ligament (ACL) and anterolateral ligament (ALL) reconstruction technique. The method utilizes a hamstring tendon autograft and suspensory button fixation to address rotational instability after ACL surgery.
Area of Science:
- Orthopedic surgery
- Sports medicine
- Knee biomechanics
Background:
- Rotational instability persists in some patients post-anterior cruciate ligament (ACL) reconstruction.
- Anterolateral ligament (ALL) reconstruction is increasingly recognized for improving knee stability.
- Existing techniques for combined ACL and ALL reconstruction vary.
Purpose of the Study:
- To describe a specific technique for combined ACL and ALL reconstruction.
- To detail the use of a hamstring tendon autograft with preserved semitendinosus insertion.
- To highlight the application of suspensory button fixation in this combined procedure.
Main Methods:
- Hamstring tendon autograft harvesting, preserving semitendinosus insertion.
- Combined ACL and ALL reconstruction procedure.
- Fixation using a suspensory button.
Main Results:
- The described technique facilitates simultaneous ACL and ALL reconstruction.
- Preservation of semitendinosus insertion may offer biomechanical advantages.
- Suspensory button fixation provides secure graft fixation.
Conclusions:
- This combined ACL and ALL reconstruction technique offers a viable option for patients with rotational instability.
- The described surgical approach may improve outcomes in ACL reconstruction.
- Further studies are warranted to evaluate the long-term efficacy and clinical outcomes.
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