{"id":8076,"date":"2021-05-04T16:40:17","date_gmt":"2021-05-04T16:40:17","guid":{"rendered":"https:\/\/toty.fr\/wordpress\/?page_id=8076"},"modified":"2021-05-04T16:49:37","modified_gmt":"2021-05-04T16:49:37","slug":"anterior-cruciate-ligament-surgery-acl","status":"publish","type":"page","link":"https:\/\/chirurgie-orthopedique.info\/en\/knee-anatomy-pathophysiology\/anterior-cruciate-ligament-surgery-acl\/anterior-cruciate-ligament-surgery-acl\/","title":{"rendered":"Surgery (ACL)"},"content":{"rendered":"

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Anterior Cruciate Ligament surgery (ACL)<\/h2>\n

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The goal of this procedure is to replace the ruptured ligament, at its anatomical site, with a tendon from the same knee (autograft), without opening the joint (through arthroscopy). Taking a tendon specimen does affect the joint\u2019s functioning. This graft is placed into the joint through small bone tunnels at the level of the tibia and the femur. This intra-articular procedure is performed under arthroscopic control, which reduces scarring and makes rehabilitation faster and less painful.<\/p>\n

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Tendon specimens are:
\n– Hamstrings, on the internal side of the knee. We use semitendinosus tendon (ST) and gracilis tendon(GT)<\/strong> They\u2019re on the medial and posterior side of the thigh. Their very long tendons are attached to the internal side of the tibia. They can be taken through a small incision with a device called \u201cstripper\u201d. They are then folded double to obtain a graft with 4 strands, which is much more resistant to traction than a normal ACL.<\/p>\n

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Benefits of the STGT technique:
\n<\/strong>easier postoperative recoveries, no residual pain and higher \u201cfunctional\u201d results than the KJ.
\nDrawbacks: : <\/strong>former binding problems of these tendons have been solved using new binding modes.<\/p>\n

– Patellar tendon below the patella.
\nAlso called Kenneth-Jones procedure(KJ).
\n<\/strong>The central third patellar tendon is taken out with its patellar and tibial bone attachements. It replaces the cruciate anterior ligament in the notch and the bone plugs enable a strong fixation.[\/vc_column_text][vc_row_inner][vc_column_inner width=”1\/6″][\/vc_column_inner][vc_column_inner width=”2\/3″][vc_single_image image=”7219″ img_size=”full” add_caption=”yes” alignment=”center” onclick=”link_image”][\/vc_column_inner][vc_column_inner width=”1\/6″][\/vc_column_inner][\/vc_row_inner][vc_column_text]<\/p>\n