Re revision anterior cruciate ligament surgery with quadriceps tendon autograft, and anterolateral ligament reconstruction with allograft and internal brace.

Abstract

Anterior cruciate ligament (ACL) revision surgeries are becoming more frequent due to the increasing demand and rupture of primary surgeries. In addition to this, the development and learning of new surgical techniques allow the patient to complete a shorter postoperative period, returning their usual sports activities or new sports modalities early. ACL revision surgeries are always a challenge for the surgeon and his team, whether due to the demanding technique, the graft options to choose from, or the expectations of the patient and the medical team itself, to restore joint stability and functionality with good clinical results. In the current medical literature, there are many configurations available to perform an ACL revision, from combinations of graft types and origins (autologous, allograft, synthetic; hamstring, patellar, quadriceps; ipsilateral, contralateral) to surgical techniques options (reconstructions, augmentations, reinforcements; extra or intra-articular).

The present study is a case report of a re-revision of the ACL with autologous ipsilateral full thickness quadriceps tendon graft with bone block, internal and external meniscal suture, added to the extra-articular augmentation with ALL reconstruction using tendon allograft tibialis anterior reinforced with a synthetic InternalBrace^tm through a mini-invasive technique with two incisions, emphasizing the technical details and possible complications associated with this procedure.