Arthroscopic Reconstruction of ACL and LCL Tear with Combined Asymmetric Hamstring Graft Using Single Femoral Tunnel - A Case Report

Arthroscopic Reconstruction of ACL and LCL Tear with Combined Asymmetric Hamstring Graft Using Single Femoral Tunnel - A Case Report

Anterior cruciate ligament (ACL) injury is associated with various degrees of rotational deformity. About 15% have a positive pivot shift test after accurate ACL reconstruction. Unrepaired lateral collateral ligament (LCL) tear can lead to increase load on reconstructed ACL and lead to ligament fail...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Journal of orthopaedic case reports 2022-08, Vol.12 (8), p.33-37
Hauptverfasser: Shah, Malkesh D, Shah, Bhagya R, Desai, Sarvang, Patel, Purvi
Format: Artikel
Sprache:eng
Schlagworte:
Case Report
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 37
container_issue 8
container_start_page 33
container_title Journal of orthopaedic case reports
container_volume 12
creator Shah, Malkesh D
Shah, Bhagya R
Desai, Sarvang
Patel, Purvi
description Anterior cruciate ligament (ACL) injury is associated with various degrees of rotational deformity. About 15% have a positive pivot shift test after accurate ACL reconstruction. Unrepaired lateral collateral ligament (LCL) tear can lead to increase load on reconstructed ACL and lead to ligament failure. We present a case of combined ACL with LCL tear treated arthroscopically using a single femoral tunnel and asymmetric combined semitendinosus and gracilis (STG) graft. The patient had full range of motion at the knee joint and was able to squat and sit cross-legged and was able to carry out activities of daily living at 8 months of follow-up. Our technique provides orthopedic surgeons with an alternative for combined ACL and LCL reconstruction with a single combined STG graft, thereby limiting additionally graft site morbidity and avoiding the need for allograft and preserving adequate femoral bone stock by preparing only a single femoral tunnel and thus limiting the cost to the patient using single implant for femur.
doi_str_mv 10.13107/jocr.2022.v12.i08.2954
format Article
fullrecord <record><control><sourceid>pubmed_cross</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9831234</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>36687484</sourcerecordid><originalsourceid>FETCH-LOGICAL-c1754-e9818b4c700666b94d7db5a1a427dd889182c76fb63e975d3fc7baff1804a2873</originalsourceid><addsrcrecordid>eNpVkV1LwzAUhoMoOnR_QfMHWvPVJr0RSnGbMBB0uw5pmrrImoykU7z3h5v5hd6cc-DwvCfkAeAKoxxTjPj1s9chJ4iQ_AWT3CKRk6pgR2BCKMEZFZgfp5kUKEOlKM7ANMZnhBCmjKAKn4IzWpaCM8Em4L0O4yb4qP3OavhgtHdxDHs9Wu-g72HdLKFyHVymvjIqwFc7bmDjh9Y608E6vg2DGUNiF2pIpHVPcB5UP8J1PMyPqWwNnJnBB7WFq71zZgszWMNGRZMO7nwYL8BJr7bRTL_7OVjPblfNIlvez--aeplpzAuWmUpg0TLNESrLsq1Yx7u2UFgxwrtOiAoLonnZtyU1FS862mveqr7HAjFFBKfn4OYrd7dvB9Np48b0KLkLdlDhTXpl5f-Nsxv55F9kJSgmlKUA_hWg05fFYPpfFiP56UYe3MiDG5ncyORGHtwk8vLv6V_uxwT9AHvBjjM</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Arthroscopic Reconstruction of ACL and LCL Tear with Combined Asymmetric Hamstring Graft Using Single Femoral Tunnel - A Case Report</title><source>PubMed Central Open Access</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><creator>Shah, Malkesh D ; Shah, Bhagya R ; Desai, Sarvang ; Patel, Purvi</creator><creatorcontrib>Shah, Malkesh D ; Shah, Bhagya R ; Desai, Sarvang ; Patel, Purvi</creatorcontrib><description>Anterior cruciate ligament (ACL) injury is associated with various degrees of rotational deformity. About 15% have a positive pivot shift test after accurate ACL reconstruction. Unrepaired lateral collateral ligament (LCL) tear can lead to increase load on reconstructed ACL and lead to ligament failure. We present a case of combined ACL with LCL tear treated arthroscopically using a single femoral tunnel and asymmetric combined semitendinosus and gracilis (STG) graft. The patient had full range of motion at the knee joint and was able to squat and sit cross-legged and was able to carry out activities of daily living at 8 months of follow-up. Our technique provides orthopedic surgeons with an alternative for combined ACL and LCL reconstruction with a single combined STG graft, thereby limiting additionally graft site morbidity and avoiding the need for allograft and preserving adequate femoral bone stock by preparing only a single femoral tunnel and thus limiting the cost to the patient using single implant for femur.</description><identifier>ISSN: 2250-0685</identifier><identifier>EISSN: 2321-3817</identifier><identifier>DOI: 10.13107/jocr.2022.v12.i08.2954</identifier><identifier>PMID: 36687484</identifier><language>eng</language><publisher>India: Indian Orthopaedic Research Group</publisher><subject>Case Report</subject><ispartof>Journal of orthopaedic case reports, 2022-08, Vol.12 (8), p.33-37</ispartof><rights>Copyright: © Indian Orthopaedic Research Group.</rights><rights>Copyright: © Indian Orthopaedic Research Group 2022</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9831234/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9831234/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36687484$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shah, Malkesh D</creatorcontrib><creatorcontrib>Shah, Bhagya R</creatorcontrib><creatorcontrib>Desai, Sarvang</creatorcontrib><creatorcontrib>Patel, Purvi</creatorcontrib><title>Arthroscopic Reconstruction of ACL and LCL Tear with Combined Asymmetric Hamstring Graft Using Single Femoral Tunnel - A Case Report</title><title>Journal of orthopaedic case reports</title><addtitle>J Orthop Case Rep</addtitle><description>Anterior cruciate ligament (ACL) injury is associated with various degrees of rotational deformity. About 15% have a positive pivot shift test after accurate ACL reconstruction. Unrepaired lateral collateral ligament (LCL) tear can lead to increase load on reconstructed ACL and lead to ligament failure. We present a case of combined ACL with LCL tear treated arthroscopically using a single femoral tunnel and asymmetric combined semitendinosus and gracilis (STG) graft. The patient had full range of motion at the knee joint and was able to squat and sit cross-legged and was able to carry out activities of daily living at 8 months of follow-up. Our technique provides orthopedic surgeons with an alternative for combined ACL and LCL reconstruction with a single combined STG graft, thereby limiting additionally graft site morbidity and avoiding the need for allograft and preserving adequate femoral bone stock by preparing only a single femoral tunnel and thus limiting the cost to the patient using single implant for femur.</description><subject>Case Report</subject><issn>2250-0685</issn><issn>2321-3817</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNpVkV1LwzAUhoMoOnR_QfMHWvPVJr0RSnGbMBB0uw5pmrrImoykU7z3h5v5hd6cc-DwvCfkAeAKoxxTjPj1s9chJ4iQ_AWT3CKRk6pgR2BCKMEZFZgfp5kUKEOlKM7ANMZnhBCmjKAKn4IzWpaCM8Em4L0O4yb4qP3OavhgtHdxDHs9Wu-g72HdLKFyHVymvjIqwFc7bmDjh9Y608E6vg2DGUNiF2pIpHVPcB5UP8J1PMyPqWwNnJnBB7WFq71zZgszWMNGRZMO7nwYL8BJr7bRTL_7OVjPblfNIlvez--aeplpzAuWmUpg0TLNESrLsq1Yx7u2UFgxwrtOiAoLonnZtyU1FS862mveqr7HAjFFBKfn4OYrd7dvB9Np48b0KLkLdlDhTXpl5f-Nsxv55F9kJSgmlKUA_hWg05fFYPpfFiP56UYe3MiDG5ncyORGHtwk8vLv6V_uxwT9AHvBjjM</recordid><startdate>20220801</startdate><enddate>20220801</enddate><creator>Shah, Malkesh D</creator><creator>Shah, Bhagya R</creator><creator>Desai, Sarvang</creator><creator>Patel, Purvi</creator><general>Indian Orthopaedic Research Group</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope></search><sort><creationdate>20220801</creationdate><title>Arthroscopic Reconstruction of ACL and LCL Tear with Combined Asymmetric Hamstring Graft Using Single Femoral Tunnel - A Case Report</title><author>Shah, Malkesh D ; Shah, Bhagya R ; Desai, Sarvang ; Patel, Purvi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1754-e9818b4c700666b94d7db5a1a427dd889182c76fb63e975d3fc7baff1804a2873</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Case Report</topic><toplevel>online_resources</toplevel><creatorcontrib>Shah, Malkesh D</creatorcontrib><creatorcontrib>Shah, Bhagya R</creatorcontrib><creatorcontrib>Desai, Sarvang</creatorcontrib><creatorcontrib>Patel, Purvi</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of orthopaedic case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shah, Malkesh D</au><au>Shah, Bhagya R</au><au>Desai, Sarvang</au><au>Patel, Purvi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Arthroscopic Reconstruction of ACL and LCL Tear with Combined Asymmetric Hamstring Graft Using Single Femoral Tunnel - A Case Report</atitle><jtitle>Journal of orthopaedic case reports</jtitle><addtitle>J Orthop Case Rep</addtitle><date>2022-08-01</date><risdate>2022</risdate><volume>12</volume><issue>8</issue><spage>33</spage><epage>37</epage><pages>33-37</pages><issn>2250-0685</issn><eissn>2321-3817</eissn><abstract>Anterior cruciate ligament (ACL) injury is associated with various degrees of rotational deformity. About 15% have a positive pivot shift test after accurate ACL reconstruction. Unrepaired lateral collateral ligament (LCL) tear can lead to increase load on reconstructed ACL and lead to ligament failure. We present a case of combined ACL with LCL tear treated arthroscopically using a single femoral tunnel and asymmetric combined semitendinosus and gracilis (STG) graft. The patient had full range of motion at the knee joint and was able to squat and sit cross-legged and was able to carry out activities of daily living at 8 months of follow-up. Our technique provides orthopedic surgeons with an alternative for combined ACL and LCL reconstruction with a single combined STG graft, thereby limiting additionally graft site morbidity and avoiding the need for allograft and preserving adequate femoral bone stock by preparing only a single femoral tunnel and thus limiting the cost to the patient using single implant for femur.</abstract><cop>India</cop><pub>Indian Orthopaedic Research Group</pub><pmid>36687484</pmid><doi>10.13107/jocr.2022.v12.i08.2954</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 2250-0685
ispartof Journal of orthopaedic case reports, 2022-08, Vol.12 (8), p.33-37
issn 2250-0685
2321-3817
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9831234
source PubMed Central Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central
subjects Case Report
title Arthroscopic Reconstruction of ACL and LCL Tear with Combined Asymmetric Hamstring Graft Using Single Femoral Tunnel - A Case Report
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-23T18%3A57%3A46IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-pubmed_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Arthroscopic%20Reconstruction%20of%20ACL%20and%20LCL%20Tear%20with%20Combined%20Asymmetric%20Hamstring%20Graft%20Using%20Single%20Femoral%20Tunnel%20-%20A%20Case%20Report&rft.jtitle=Journal%20of%20orthopaedic%20case%20reports&rft.au=Shah,%20Malkesh%20D&rft.date=2022-08-01&rft.volume=12&rft.issue=8&rft.spage=33&rft.epage=37&rft.pages=33-37&rft.issn=2250-0685&rft.eissn=2321-3817&rft_id=info:doi/10.13107/jocr.2022.v12.i08.2954&rft_dat=%3Cpubmed_cross%3E36687484%3C/pubmed_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_id=info:pmid/36687484&rfr_iscdi=true