Contact us

Make an appointment

our specialists

 

  01 40 79 40 36

 

secretariat

@chirurgiedusport.com

 

SOS KNEE

 

Sports Clinic

36 bd St Marcel

75005 PARIS

Sports clinic Paris

Metro: Saint Marcel

Parking 6 rue test


sur

'Pages chirurgiedusport :

HONCode

Ce site respecte les principes de la charte HONcode de HON Ce site respecte les principes de la charte HONcode.
Site certifié en partenariat avec la Haute Autorité de Sant├ę (HAS).
Check here

QRCode

Youtube video

13:54
Docteur GEROMETTA Antoine - Retour au sp ...
294 views


14:12
Monsieur Olivier HOMAGE - Chaussage et s ...
219 views


09:05
Docteur Nicolas LEFEVRE - LCA de lÔÇÖenf ...
156 views


10:55
Docteur BOHU Yoann - 1├Ęre luxation dÔÇÖ ...
97 views


41:09
Surgical management 's knee osteoar ...
2143 views


10:06
Ligamentoplastie du ligament crois├ę an ...
18183 views


09:53
TKA MyKnee PTG Dr. Nicolas Lefevre
674759 views


00:41
Cracked meniscus bucket handle dislocate ...
26841 views


09:33
Arthroscopic knee surgery for fracture o ...
87321 views


07:39
Total knee replacement (TKR), descriptio ...
52727 views


11:04
DIDT TLS: surgery of the anterior crucia ...
372722 views


10:21
Surgery sport, hamstring: surgery of the ...
436399 views


05:12
Zapping meniscus
17256 views


03:37
Combing the patellar tendon under arthro ...
27690 views


05:10
Surgery sport, PIP Prevention of knee in ...
12302 views


00:08
bucket handle meniscal 3D movie
17467 views


05:44
Suture of the lateral meniscus injury ra ...
16045 views


05:18
partial tear of the anterior cruciate li ...
10256 views


02:01
Levy for the hamstring ACL reconstructio ...
30309 views


06:25
partial ACL tear, technical anatomical r ...
11397 views


10:02
Complete rupture hamstring tendon repair ...
18320 views


04:09
Surgery sport, endoscopic treatment of c ...
5211 views


06:18
compartment syndrome 's efforts
39551 views


09:01
Rupture du tendon d'achille chirurgie du ...
5141 views


03:23
greffe de me?nisque Dr Alain myer Dr Yoa ...
1188 views


09:05
Docteur Nicolas LEFEVRE - LCA de lÔÇÖenf ...
156 views


14:12
Monsieur Olivier HOMAGE - Chaussage et s ...
219 views


13:54
Docteur GEROMETTA Antoine - Retour au sp ...
294 views


Technical TLS: ligamentoplasty anterior cruciate ligament (ACL) in the hamstring TLS or technical DT4 TL

Print Article

The aim of this operation is to achieve anatomic ACL reconstruction using autologous (patient's tendon) under arthroscopic control. The principle of TLS is to use a single hamstring tendon in short graft (transplant economy). The half tendon tendon is one of two hamstring tendons (hamstring). It is thin (3-4 mm) and long (about 25 cm). It is the termination of the semitendinosus that ends on the bridle. The harvesting the graft is carried out by a short nearly horizontal incision of 2 cm to the surface of the tibia, is removed only the semitendinosus tendon over its entire length with a stripper. He bent over backwards to get a transplant ACL bundles 4 or 4 strands with diameters ranging from 7 to 9 mm. It's a short graft50 mm average length (Fig.8). At both ends of the graft are passed two textile strips for fixing the graft in tunnels. a traction table is used to make a claim to the graft to 500 Newtons
The procedure is performed arthroscopically: two small incisions of 5 mm either side of the ball joint enable switch the camera and instruments to perform the ligament. The preparation of the notch allows the cleaning of the axial face of the lateral condyle and visualize the area well "over the top" in order to delimit the dial 9-12 and 12-15h for a right knee to the left knee. The femoral tunnel is drilled under arthroscopic control inwards with a specific femoral viewfinder. The knee is at 90 ┬░ of flexion. Tunneling on the spindle diameter 4.5 mm is formed using the 4.5 mm drill. The femoral stall is then excavated using an auger to specific fins. The arthroscope is controlling the retrograde manual digging. The tibial tunnel is achieved according to the same principle. Tractors son went inwards in the femoral and tibial tunnels. The graft is then towed on his bandages and is positioned automatically in the femoral and tibial stall. The graft is fixed with two metal screws Titanium.
 
 
 

Doctor Nicolas LEFEVRE, Doctor Antoine GEROMETTA, Doctor Yoann BOHU, Doctor Serge HERMAN. - 25 octobre 2015.

Conflicts of interest: the author or authors have no conflicts of interest concerning the data published in this article.

News

Read also ...

The most read articles

Technical cruciate ligament

By Dr. Nicolas Lefevre

More videos

Last publications

Feature: knee prosthesis

total knee replacement

Feature: knee ligaments

Dossier: Ambulatory Surgery ACL

Dossier: meniscus

MENISCUS 3D CRACK MENISCUS TEAR SURGERY SPORTS

Feature: Shoulder sportsman

Folder: hip prosthesis

Dossier: break hamstring

Dr. Lefevre proximal anatomie_ischio_jambier_rupture chirurgiedusport

Dossier: prosthetic and sports

hip replacement and knee and sports

Dossier: PRP

Chirurgiedusport - Who are we - Contact us - Legal Notice - Web design Digitaline - EMC2 Studio development - Clinique du Sport