Anatomic Collateral Ligament Reconstruction
Once the minimally invasive or open incision is made and proper soft tissue windows are established, the Fibular, Tibial, and/or Femoral Collateral Marking Hooks are used for anatomic precision and osseous measurements when drilling the appropriate reconstruction tunnels. Using the Femoral Collateral Marking Hook in conjunction with the Parallel Drill Guide will increase the efficiency of anatomic femoral drilling by significantly reducing convergent tunnels and allowing for accurate guide pin placement at multiple incremental distances. During tunnel creation the spooned ends of the Collateral Ligament Retractor are used to protect the neurovascular structures and the Collateral ligament rasp is used to chamfer the aperture of the completed reconstruction tunnels. The prepared grafts are then passed with the use of FiberWire or FiberSticks and tensioned into the desire position prior to graft fixation.
Collateral Ligament Graft Fixation
Multiple collateral ligament reconstruction techniques are available ranging from aperture fixation using the BioComposite SwiveLock® tenodesis system with biocomposite interference screws to suspensory fixation with TightRope® technology.
Anterolateral Ligament Reconstruction
Lateral extra-articular augmentation or reconstruction aims to eliminate residual laxity and reduce the risk of ACL graft rupture. Anterolateral ligament reconstruction could play a role in augmenting rotational stability in the ACL-reconstructed knee and are most likely to benefit hyperlax patients, revision cases, pivoting athletes, and those with IKDC grade III pivot shifts.
Iliotibial Band Tenodesis
The goal of lateral extra-articular augmentation or reconstruction is to eliminate residual laxity and reduce the risk of ACL graft rupture. Two common techniques include iliotibial band (ITB) tenodesis and anterolateral ligament (ALL) reconstruction. These procedures play a role in augmenting rotational stability in the ACL-reconstructed knee. Patients who see the greatest benefit include hyperlax patients, revision cases, pivoting athletes, and those with IKDC grade III pivot shifts.