Arthroscopically-assisted semitendinosus and gracilis tendon graft for anterior and posterior cruciate ligament deficiency.
A simple, reliable, arthroscopically-assisted procedure is presented in which a doubled and suture woven semitendinosus and gracilis free tendon graft is used in the anterior or posterior cruciate ligament deficient knee.  A ligament guide system is used for isocentric placement of tibial and femoral drill holes.  The procedure is performed using a button and staple technique that allows accurate placement of the ligament substitution and facilitates early ambulation.  At an average follow-up of 2.5 years, good and excellent results have been demonstrated in 97% of 74 knees in which this technique was used, with only a 3% risk of graft failure.
Institute for Arthroscopic Surgery, Los Angeles, California.
D M
DM
Silver
D000293:Adolescent; D000328:Adult; D000368:Aged; D016118:Anterior Cruciate Ligament / Q000601:surgery*; D001182:Arthroscopy / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007719:Knee Joint / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D016119:Posterior Cruciate Ligament / Q000601:surgery*; D013710:Tendons / Q000637:transplantation*