2023 Annual Meeting Knee Access Pass-Surgical Spotlight: Hamstring Lateral Plasty

Surgical Spotlight: Hamstring Lateral Plasty

Video Transcription

Video Summary

Dr. Grassi presented a hamstring lateralplasty technique similar to the reverse Micheli method, emphasizing preservation of the tibial attachment and no femoral tunnel, using two metal staples for fixation. The procedure involves harvesting semitendinosus and gracilis tendons, creating an intraphyseal tibial tunnel, and passing the graft through an over-the-top position lateral to the knee, fixed near the geniculate artery to avoid growth plate damage. The technique uses basic instruments and fluoroscopy, offering good graft orientation and stability. Clinical results in young athletes showed no re-rupture and minimal deformities, supporting it as a reliable, safe option for all skeletal ages.

Asset Caption

Alberto Grassi, M.D

Keywords

hamstring lateralplasty

reverse Micheli technique

tibial attachment preservation

intraphyseal tibial tunnel

young athletes ACL repair