Anterior cruciate ligament reconstruction using Puddu method – preliminary report

Author(s): MIROSŁAW JABŁOŃSKI, JAROMIR JARECKI, MIECZYSŁAW GORZELAK

Knee anterior cruciate ligament (ACL) lesions often occur after rotation injuries and afterward persistent decrease in knee stability usually enhances progression of gonarthritis. Among many ACL reconstructive techniques there is Puddu method described in 1980. It a kind of ACL reparation procedure by transposition of distal insertion of semitendinous and gracile muscle tendons on lateral femoral condyle, what preserves intact active knee stabilisators. The aim of this study was to present Puddu’s method of ACL reconstruction as experienced by the authors. According to own material it was concluded that using Puddu’s technique enables to maintain fragments of torn ACL in expectation to faster graft rebuilt with at least partially retained prioprioception. We confirmed that this technique improves static and dynamic knee joint stability.