Andrea Ferretti, MD, Fabio Conteduca, MD, Edoardo Monaco, MD, Angelo De Carli, MD and Carmelo D’Arrigo, MD
The purpose of the JBJS study by Ferretti et al. was to evaluate the results of revision anterior cruciate ligament reconstruction with the use of an autogenous ipsilateral doubled semitendinosus and gracilis graft. In this video supplement to the article, featuring the authors submitted footage, an arthroscopically assisted two-incision procedure is demonstrated. The graft is fixed on the femur utilizing the Swing-Bridge device and on the tibia either with two staples or with the Evolgate device. The Swing-Bridge is a femoral fixation device that can be used in double-incision anterior cruciate ligament surgery; it offers very strong and stiff fixation. The Evolgate is a tibial fixation device for soft tissues that is composed of three components: a screw, a coil that is inserted inside the bone tunnel to reinforce the walls of the tunnel, and a washer for cortical fixation. The results of the study suggest that the use of a doubled semitendinosus and gracilis autograft combined with an extra-articular reconstruction is a reasonable alternative for revision anterior cruciate ligament reconstruction.
Material Covered
- Preoperative Planning
- Device Removal
- Determing New Tunnel Placement
- Graft Choices
- Graft Placement
- Results
See the Corresponding JBJS Article:
- Andrea Ferretti, MD, Fabio Conteduca, MD, Edoardo Monaco, MD, Angelo De Carli, MD, Carmelo D’Arrigo, MD
- Revision Anterior Cruciate Ligament Reconstruction with Doubled Semitendinosus and Gracilis Tendons and Lateral Extra-Articular Reconstruction
J. Bone Joint Surg. Am., Nov 2006; 88: 2373 – 2379 [Article]
- Andrea Ferretti, MD, Fabio Conteduca, MD, Edoardo Monaco, MD, Angelo De Carli, MD, Carmelo D’Arrigo, MD
- Revision Anterior Cruciate Ligament Reconstruction with Doubled Semitendinosus and Gracilis Tendons and Lateral Extra-Articular Reconstruction: Surgical Technique.
J. Bone Joint Surg. Am., Sep 2007; 89:196-213. [Article]
Specifications
- Total Run Time: 18:00 minutes
- Catalog Number: 5100
- VJO Publication Date: June, 2007