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Anatomic Outside-In Reconstruction of the Anterior Cruciate Ligament Using Femoral Fixation with Metallic Interference Screw and Surgical Staples (Agrafe) in the Tibia: An Effective Low-Cost Technique
de Vasconcelos, Stemberg Martins1 , 3
Leite, José Alberto Dias2
Pinto, Dilamar Moreira1
Teixeira, Rogério Beltrão1
de Léo, Álvaro Coelho1
Silveira, Leonardo de Lima1 , 3
Gonçalves, Romeu Krause1
Gonçalves, Marcelo Carvalho Krause1
de Vasconcelos, Ana Carolina Leite1
Filho, Carlos Frederico Dias Costa1
de Lima, Lana Lacerda2
Authors Info & Affiliations
Abstract
Background:
An anterior cruciate ligament (ACL) rupture is a frequent injury, with short and long-term consequences if left untreated. With a view to benefitting as many patients as possible and preventing future complications, we created a low-cost ligament reconstruction technique.
Method:
The present article describes an anatomic ACL reconstruction technique.
Results:
The technique involves single-band reconstruction, using flexors tendon graft, outside-in tunnel perforation, femoral fixation with metal interference screw and surgical staples (Agrafe) in the longitudinal position.
Conclusion:
We present a simple, easy-to-reproduce technique that, when executed on patients with good bone quality, primarily in the tibia, is effective and inexpensive, favoring its large scale application.
