Anterior Cruciate Ligament Reconstruction Using a Hollow Ligament Advanced Reinforcement System Semitendinosus Autograft Combined With Anterolateral Complex Augmentation Using Gracilis
Tianhao Zhu, Changming Huang, Huaqiang Fan, Yangpan Fu, Zhiyong Gan, Zhenhuang Liu, Yaqing Zhang · 2026
Read Anterior Cruciate Ligament Reconstruction Using a Hollow Ligament Advanced Reinforcement System Semitendinosus Autograft Combined With Anterolateral Complex Augmentation Using Gracilis by Tianhao Zhu, Changming Huang, Huaqiang Fan, Yangpan Fu, Zhiyong Gan, Zhenhuang Liu, Yaqing Zhang (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13399619.txt.
Description
Zhu and co-authors describe, in 2026, a technique note for knee ligament surgery that pairs a hollow synthetic brace with the patient's own tendons. Single-bundle ACL repair is standard, yet about 24 percent of patients keep residual rotational instability. Failure rates run from 1.8 to 16.7 percent across studies. Their method adds anterolateral complex support using the gracilis tendon while bracing a semitendinosus graft with a hollow LARS synthetic ligament.
The hollow device is added when the harvested graft measures under 8 millimeters in diameter, lending immediate strength while the living graft matures. Anterolateral ligament injury comes with 34.4 to 63 percent of ACL tears in published series, motivating the combined approach for rotational stability. Steps cover scope inspection, graft preparation, tunnel drilling, and fixation. The authors note fit for thin-tendoned patients, high-demand athletes, and revision cases, while flagging femoral placement errors and a steep learning curve.
Catalog record
| CREATOR | Tianhao Zhu, Changming Huang, Huaqiang Fan, Yangpan Fu, Zhiyong Gan, Zhenhuang Liu, Yaqing Zhang |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 18 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |