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

• Published in: The open orthopaedics journal Vol. 11; no. 1; pp. 1154 - 1164
• Main Authors: Diego, Ariel de Lima, Stemberg Martins, de Vasconcelos, Dias, Leite José Alberto, Moreira, Pinto Dilamar, Beltrão, Teixeira Rogério, Coelho, de Léo Álvaro, de Lima, Silveira Leonardo, Krause, Gonçalves Romeu, Carvalho Krause, Gonçalves Marcelo, Carolina Leite, de Vasconcelos Ana, Dias Costa, Filho Carlos Frederico, Lana Lacerda, de Lima
• Format: Journal Article
• Language: English
• Published: United Arab Emirates Bentham Open 31-10-2017
• Subjects: Anterior Cruciate Ligament; Low-cost; Reconstruction; Surgical Staple; Interference Screw; Agrafe
• ISSN: 1874-3250; 1874-3250
• DOI: 10.2174/1874325001711011154

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.
The present article describes an anatomic ACL reconstruction technique.
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.
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.