Gracilis Anatomic Anterolateral Ligament Reconstruction: Technical Note

Anterior cruciate ligament reconstruction alone may not adequately address rotational stability in cases with combined anterior cruciate ligament and anterolateral ligament (ALL) injury. The gracilis anatomic anterolateral ligament (GrAAL) reconstruction technique offers an approach that aims to res...

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Main Authors: Gabriele Thiebat, M.D., Lorenzo Maria Maggioni, M.D., Roberto De Pamphilis, M.D., Claudio Manzini, M.D., Andrea Panzeri, M.D., Marco Pungitore, M.D.
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628725000441
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author Gabriele Thiebat, M.D.
Lorenzo Maria Maggioni, M.D.
Roberto De Pamphilis, M.D.
Claudio Manzini, M.D.
Andrea Panzeri, M.D.
Marco Pungitore, M.D.
author_facet Gabriele Thiebat, M.D.
Lorenzo Maria Maggioni, M.D.
Roberto De Pamphilis, M.D.
Claudio Manzini, M.D.
Andrea Panzeri, M.D.
Marco Pungitore, M.D.
author_sort Gabriele Thiebat, M.D.
collection DOAJ
description Anterior cruciate ligament reconstruction alone may not adequately address rotational stability in cases with combined anterior cruciate ligament and anterolateral ligament (ALL) injury. The gracilis anatomic anterolateral ligament (GrAAL) reconstruction technique offers an approach that aims to restore rotational stability by anatomically reconstructing the ALL using the gracilis tendon autograft while preserving its native tibial insertion. This procedure requires only a single femoral fixation point, making it a cost-effective and less invasive alternative to other anatomic ALL reconstruction techniques. This technical note outlines the surgical methodology and potential advantages of our approach.
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issn 2212-6287
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publisher Elsevier
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series Arthroscopy Techniques
spelling doaj-art-e772cb74b7074cdc82cca70a91ab6b592025-08-20T03:30:29ZengElsevierArthroscopy Techniques2212-62872025-06-0114610347510.1016/j.eats.2025.103475Gracilis Anatomic Anterolateral Ligament Reconstruction: Technical NoteGabriele Thiebat, M.D.0Lorenzo Maria Maggioni, M.D.1Roberto De Pamphilis, M.D.2Claudio Manzini, M.D.3Andrea Panzeri, M.D.4Marco Pungitore, M.D.5Istituti di Ricovero e Cura a Carattere Scientifico Istituto Ortopedico Galeazzi (Istituto Clinico San Siro), Milan, ItalyIstituti di Ricovero e Cura a Carattere Scientifico Istituto Ortopedico Galeazzi (Istituto Clinico San Siro), Milan, Italy; Università degli Studi di Milano, Milan, Italy; Address correspondence to Lorenzo Maria Maggioni, M.D., Istituti di Ricovero e Cura a Carattere Scientifico Istituto Ortopedico Galeazzi (Istituto Clinico San Siro), Via Monreale 18, 20134, Milan, Italy.Istituti Clinici Zucchi, Monza, ItalyIstituti Clinici Zucchi, Monza, ItalyIstituti di Ricovero e Cura a Carattere Scientifico Istituto Ortopedico Galeazzi (Istituto Clinico San Siro), Milan, ItalyIstituti Clinici Zucchi, Monza, ItalyAnterior cruciate ligament reconstruction alone may not adequately address rotational stability in cases with combined anterior cruciate ligament and anterolateral ligament (ALL) injury. The gracilis anatomic anterolateral ligament (GrAAL) reconstruction technique offers an approach that aims to restore rotational stability by anatomically reconstructing the ALL using the gracilis tendon autograft while preserving its native tibial insertion. This procedure requires only a single femoral fixation point, making it a cost-effective and less invasive alternative to other anatomic ALL reconstruction techniques. This technical note outlines the surgical methodology and potential advantages of our approach.http://www.sciencedirect.com/science/article/pii/S2212628725000441
spellingShingle Gabriele Thiebat, M.D.
Lorenzo Maria Maggioni, M.D.
Roberto De Pamphilis, M.D.
Claudio Manzini, M.D.
Andrea Panzeri, M.D.
Marco Pungitore, M.D.
Gracilis Anatomic Anterolateral Ligament Reconstruction: Technical Note
Arthroscopy Techniques
title Gracilis Anatomic Anterolateral Ligament Reconstruction: Technical Note
title_full Gracilis Anatomic Anterolateral Ligament Reconstruction: Technical Note
title_fullStr Gracilis Anatomic Anterolateral Ligament Reconstruction: Technical Note
title_full_unstemmed Gracilis Anatomic Anterolateral Ligament Reconstruction: Technical Note
title_short Gracilis Anatomic Anterolateral Ligament Reconstruction: Technical Note
title_sort gracilis anatomic anterolateral ligament reconstruction technical note
url http://www.sciencedirect.com/science/article/pii/S2212628725000441
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