This ultrasound (US)-guided anterolateral ligament (ALL) reconstruction technique uses the gracilis tendon and can be added to any anterior cruciate ligament (ACL) reconstruction technique. Preoperative US imaging is used to view the ruptured ALL and confirm the location of bony landmarks. Two minimally invasive incisions are made: one posterior to the lateral epicondyle, and one posterior to Gerdy’s tubercle. After ACL graft fixation, the two-strand gracilis tendon is introduced from the tibial incision, under the fascia lata towards the femoral incision. The ALL graft is secured to the femur with a 5.5-mm anchor, positioned posterior and proximal to the lateral epicondyle. The distal end of the graft is tightened in full extension and fixed to the tibia with a ligament staple posterior to Gerdy’s tubercle. This ALL technique requires no graft preparation.

свернуть