Combined anterior cruciate and lateral collateral ligaments reconstruction with ipsilateral hamstring autograft: surgical technique

Different surgical techniques have been proposed to reconstruct combined anterior cruciate (ACL) and lateral collateral ligaments (LCL). Although these surgical techniques are reliable and reproducible, the number of autologous grafts needed for the reconstruction could be a limiting factor, especially when patients present with multi-ligament knee injuries and the posterior cruciate ligament is also torn. In addition, some of these techniques are not easy to master and have a steep learning curve. We present a surgical procedure that has been used over the last 18 years to reconstruct combined ACL and LCL injuries and has become a reproducible, feasible and time-efficient procedure to approach combined ACL and LCL injuries using an ipsilateral hamstring autograft.

Automated summary

Different surgical techniques have been proposed for reconstructing combined ACL and LCL injuries, but the number of autologous grafts needed and the difficulty of mastering some of these techniques could be limiting factors. The authors present a surgical procedure using an ipsilateral hamstring autograft that has been used successfully for the past 18 years, offering reproducibility, feasibility, and time-efficiency for approaching combined ACL and LCL injuries.