Graft choice in combined anterior cruciate ligament and medial collateral ligament reconstruction
Journal
EFORT Open Reviews
ISSN
2396-7544
2058-5241
Date Issued
2020
Author(s)
David Figueroa
João Espregueira-Mendes
Type
Resource Types::text::journal::journal article
URL Institutional Repository
Abstract
<jats:p> There is a concern regarding which grafts should be used in combined anterior cruciate ligament (ACL) and medial collateral ligament (MCL) reconstructions, with a paucity of recommendations focused on this specific topic. Expert opinions suggest the use of allograft-only reconstructions to limit donor-site morbidity or using at least one allograft and one autograft. When a hamstring tendon autograft is harvested, techniques that maintain both the integrity of the sartorius fascia and the gracilis are recommended because of the role that the ST-G-S (semitendinosus-gracilis-sartorius) complex plays in valgus stability in the setting of an MCL-deficient knee. </jats:p><jats:p> Cite this article: EFORT Open Rev 2020;5:221-225. DOI: 10.1302/2058-5241.5.190049 </jats:p>
Subjects
acl
;
anterior cruciate ligament
;
combined
;
mcl
;
medial collateral ligament
;
mki
;
adult
;
anterior cruciate ligament
;
article
;
donor site
;
fascia
;
hamstring tendon
;
human
;
ligament surgery
;
medial collateral ligament
;
morbidity
;
semitendinous muscle
;
tendon graft