ALL Repair and Reconstruction: Techniques From the SANTI Study Group

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Biomechanical Engineering

Background:

• Isolated anterior cruciate ligament (ACL) reconstruction has limitations in restoring full knee function.
• Anterolateral ligament (ALL) injuries often occur concurrently with ACL tears.
• Combined ACL and ALL reconstruction aims to enhance knee stability and reduce re-injury rates.

Purpose of the Study:

• To detail modern surgical techniques for combined ACL and ALL reconstruction.
• To present various methods for ALL repair and reconstruction.
• To highlight the advantages of combined procedures over isolated ACL reconstruction.

Main Methods:

• Description of a combined ACL reconstruction with double-bundle ALL reconstruction using hamstring autograft.
• Presentation of a single-bundle ALL reconstruction utilizing gracilis autograft.
• Explanation of an ALL reconstruction technique employing a knotless soft anchor for optimal fixation.
• Detailing of a specific technique for ALL repair.

Main Results:

• The described techniques offer viable options for ALL reconstruction and repair.
• Combined ACL and ALL reconstruction demonstrates potential for improved patient outcomes.
• Specific techniques address challenges like tunnel convergence and fixation depth.

Conclusions:

• Modern techniques for ALL repair and reconstruction provide significant benefits.
• Combined ACL and ALL reconstruction offers advantages over isolated ACL procedures.
• These surgical approaches aim to improve knee stability and return to sport.