ACL Reconstruction Using a Fascia Lata Graft for Anatomic Femoral Direct Fiber Restoration
Steffen Sauer*
Department of Sports Traumatology, Aleris Hospital, Denmark
*Corresponding Author: Steffen Sauer, Department of Sports Traumatology, Aleris Hospital, Denmark.
Received:
May 17, 2025; Published: June 29, 2025
Abstract
ACL reconstruction techniques have constantly been refined to optimize clinical outcomes. A substantial body of research has focused on different factors affecting ACLR outcomes including graft options as well as technical aspects such as tunnel placement and ACL footprint coverage. However, modern ACL reconstruction techniques typically fail to restore native ACL kinematics based on incomplete or inaccurate restoration of native ACL insertional anatomy. The broad and thin direct femoral ACL insertion close to the resident´s ridge is currently not accurately restored through conventional single bundle ACLR and thus, altered biomechanics represent a common finding following ACLR. Double bundle reconstruction techniques have been introduced to improve native ACL footprint coverage, but clear functional and clinical superiority of double bundle ACLR has yet to be proven.
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