TY - CHAP
T1 - "Over the Top" Single-Bundle ACL Reconstruction with Extra-articular Plasty
AU - Zaffagnini, Stefano
AU - Sarsina, Tommaso Roberti Di
AU - Grassi, Alberto
AU - Raggi, Federico
AU - Bonanzinga, Tommaso
AU - Signorelli, Cecilia
AU - Marcacci, Maurilio
PY - 2016/1/1
Y1 - 2016/1/1
N2 - rior cruciate ligament reconstruction is one of the most commonly performed surgeries dwide, but there remains a lack of evidence about one technique being preferable to another. ssor Marcacci and his equipe developed in 1992 a surgical technique called "over the top" lateral plasty, using autologous ipsilateral gracilis and semitendinosus muscles tendons. • Only one tibial tunnel is required, reducing the risk of graft malplacement, making this technique suitable also for revision cases. • Cheap and reliable fixation devices (metal staples), reducing surgical time and allowing early rehabilitation. • The additional lateral plasty makes this technique reliable in addressing multidirectional laxities, not only anteroposterior but also rotational ones, making this technique comparable to a double-bundle one. In this chapter, the "over the top" plus extraarticular plasty ACL reconstruction will be described, relating it to the current concepts of reconstruction and laxity assessment. The highly satisfactory results obtained over the time with the above-reported technique show that a combination of intra- and extra-articular procedures for ACL reconstruction is a valid surgical option in the ACLdeficient knee.
AB - rior cruciate ligament reconstruction is one of the most commonly performed surgeries dwide, but there remains a lack of evidence about one technique being preferable to another. ssor Marcacci and his equipe developed in 1992 a surgical technique called "over the top" lateral plasty, using autologous ipsilateral gracilis and semitendinosus muscles tendons. • Only one tibial tunnel is required, reducing the risk of graft malplacement, making this technique suitable also for revision cases. • Cheap and reliable fixation devices (metal staples), reducing surgical time and allowing early rehabilitation. • The additional lateral plasty makes this technique reliable in addressing multidirectional laxities, not only anteroposterior but also rotational ones, making this technique comparable to a double-bundle one. In this chapter, the "over the top" plus extraarticular plasty ACL reconstruction will be described, relating it to the current concepts of reconstruction and laxity assessment. The highly satisfactory results obtained over the time with the above-reported technique show that a combination of intra- and extra-articular procedures for ACL reconstruction is a valid surgical option in the ACLdeficient knee.
UR - http://www.scopus.com/inward/record.url?scp=85006507996&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85006507996&partnerID=8YFLogxK
U2 - 10.1007/978-3-319-32070-0_28
DO - 10.1007/978-3-319-32070-0_28
M3 - Chapter
AN - SCOPUS:85006507996
SN - 9783319320694
SP - 331
EP - 340
BT - Rotatory Knee Instability: An Evidence Based Approach
PB - Springer
ER -