Diego Pires
(Recife-PE)
The ACL + Hybrid Tract in Anterior Cruciate Ligament (ACL) Reconstruction lecture aims to present this innovative technique in knee surgery, highlighting its technical details, advantages, and clinical applications.
Introduction :
The study begins with a review of the history of extra-articular tenodesis, based on Lemaire’s original article. Its relevance in knee surgery is discussed, along with scientific evidence demonstrating its biomechanical efficiency when combined with ACL reconstructions, particularly in reducing failure risk. Anatomy and Technical Considerations : The study details the anatomy of the iliotibial tract and its interactions with the knee joint, emphasizing critical points for its harvesting. Guidelines are provided to ensure safe graft extraction, minimizing risks and optimizing outcomes.
Hybrid Tract Technique :
The lecture presents the Hybrid Tract technique, developed by Monteiro-Pires. This innovative approach combines iliotibial tract harvesting with modified Lemaire tenodesis and anterolateral ligament reconstruction. The discussion covers its main indications, advantages, and impact on knee rotational stability, as well as its contribution to preventing surgical failures.
Conclusion :
The Hybrid Tract technique represents a significant advancement in ACL reconstruction, combining safety, stability, and biomechanical efficiency. Its appropriate application can lead to improved clinical outcomes and a reduced risk of recurrence in patients undergoing ACL surgery.