2023 Annual Meeting Knee Access Pass-Surgical Spotlight: ALL Reconstruction Is the Way!

Surgical Spotlight: ALL Reconstruction Is the Way!

Video Transcription

Video Summary

Camilo Gilito presents his surgical technique for combined ACL and anterolateral ligament (ALL) reconstruction, emphasizing the importance of ALL due to its frequent injury alongside ACL tears and poor healing rate. He highlights that isolated ACL reconstruction often fails to restore normal knee biomechanics in combined injuries, whereas combined reconstruction shows better outcomes, lower failure and re-rupture rates, and is beneficial for high-risk patients. His method involves using a quadruple semitendinosus and gracilis graft with a single femoral tunnel drilled posterior and proximal to the lateral epicondyle. Key steps include tibial tunnel drilling, femoral fixation, and ALL tibial tunnel fixation in full knee extension for optimal stability.

Asset Caption

Camilo P. Helito, M.D

Keywords

ACL reconstruction

anterolateral ligament (ALL)

combined ligament surgery

knee biomechanics

semitendinosus and gracilis graft