Combined anterior cruciate and lateral collateral ligaments reconstruction with ipsilateral hamstring autograft: surgical technique

J Orthop Surg Res. 2022 Oct 27;17(1):466. doi: 10.1186/s13018-022-03358-0.

Abstract

Different surgical techniques have been proposed to reconstruct combined anterior cruciate (ACL) and lateral collateral ligaments (LCL). Although these surgical techniques are reliable and reproducible, the number of autologous grafts needed for the reconstruction could be a limiting factor, especially when patients present with multi-ligament knee injuries and the posterior cruciate ligament is also torn. In addition, some of these techniques are not easy to master and have a steep learning curve. We present a surgical procedure that has been used over the last 18 years to reconstruct combined ACL and LCL injuries and has become a reproducible, feasible and time-efficient procedure to approach combined ACL and LCL injuries using an ipsilateral hamstring autograft.

Keywords: Anterior cruciate ligament injuries; Collateral ligaments; Hamstring tendons; Reconstructive surgical procedures.

MeSH terms

  • Anterior Cruciate Ligament Injuries* / surgery
  • Anterior Cruciate Ligament Reconstruction* / methods
  • Autografts / surgery
  • Hamstring Tendons* / transplantation
  • Humans
  • Knee Joint / surgery
  • Lateral Ligament, Ankle* / surgery
  • Transplantation, Autologous