Anterior Cruciate Ligament Reconstruction using Bone-Tendon-Bone Allograft: Surgical Technique Using Augmentation with Bio-Composite Scaffold
Anterior cruciate ligament (ACL) rupture rates remain high; the incidence of isolated ACL ruptures is 68.6 per 100,000. This Technical Note introduces a technique for ACL reconstruction (ACLR) using a bone-tendon-bone (BTB) allograft augmented with BioBrace, a biocomposite scaffold. The BioBrace sca...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2024-03-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628723003377 |
| _version_ | 1797242994504499200 |
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| author | Elizabeth Marks Benson, M.S. Kaitlin Pyrz, B.S. Audria Wood, M.P.H. Amit Momaya, M.D. Eugene Brabston, M.D. Thomas Evely, D.O. Aaron Casp, M.D. |
| author_facet | Elizabeth Marks Benson, M.S. Kaitlin Pyrz, B.S. Audria Wood, M.P.H. Amit Momaya, M.D. Eugene Brabston, M.D. Thomas Evely, D.O. Aaron Casp, M.D. |
| author_sort | Elizabeth Marks Benson, M.S. |
| collection | DOAJ |
| description | Anterior cruciate ligament (ACL) rupture rates remain high; the incidence of isolated ACL ruptures is 68.6 per 100,000. This Technical Note introduces a technique for ACL reconstruction (ACLR) using a bone-tendon-bone (BTB) allograft augmented with BioBrace, a biocomposite scaffold. The BioBrace scaffold is sutured onto the BTB allograft to reinforce the ligament and accelerate healing. Graft preparation with BioBrace, ACLR, and graft passage is described. This technique aims to reduce re-rupture risk, enhance graft healing, and improve patient-reported outcomes. BioBrace offers advantages over other augmentation approaches and synthetic materials, providing improved remodeling, biologic integration, and increased mechanical strength. Feasibility and efficacy have been demonstrated in animal models and human applications. This technique presents a promising approach to enhance ACLR outcomes. |
| first_indexed | 2024-04-24T18:48:04Z |
| format | Article |
| id | doaj.art-046cd8ce0bd64a008ef548a84b7813e6 |
| institution | Directory Open Access Journal |
| issn | 2212-6287 |
| language | English |
| last_indexed | 2024-04-24T18:48:04Z |
| publishDate | 2024-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj.art-046cd8ce0bd64a008ef548a84b7813e62024-03-27T04:52:04ZengElsevierArthroscopy Techniques2212-62872024-03-01133102877Anterior Cruciate Ligament Reconstruction using Bone-Tendon-Bone Allograft: Surgical Technique Using Augmentation with Bio-Composite ScaffoldElizabeth Marks Benson, M.S.0Kaitlin Pyrz, B.S.1Audria Wood, M.P.H.2Amit Momaya, M.D.3Eugene Brabston, M.D.4Thomas Evely, D.O.5Aaron Casp, M.D.6Department of Orthopaedics, University of Alabama at Birmingham, Birmingham, Alabama, U.S.A.Augusta University/University of Georgia Medical Partnership, Athens, Georgia, U.S.A.Department of Orthopaedics, University of Alabama at Birmingham, Birmingham, Alabama, U.S.A.Department of Orthopaedics, University of Alabama at Birmingham, Birmingham, Alabama, U.S.A.Department of Orthopaedics, University of Alabama at Birmingham, Birmingham, Alabama, U.S.A.Department of Orthopaedics, University of Alabama at Birmingham, Birmingham, Alabama, U.S.A.Department of Orthopaedics, University of Alabama at Birmingham, Birmingham, Alabama, U.S.A.; Address correspondence to Aaron Casp, M.D., Department of Orthopaedic Surgery, University of Alabama at Birmingham, 1313 13th St S, Suite 207, Birmingham, AL 35205, U.S.A.Anterior cruciate ligament (ACL) rupture rates remain high; the incidence of isolated ACL ruptures is 68.6 per 100,000. This Technical Note introduces a technique for ACL reconstruction (ACLR) using a bone-tendon-bone (BTB) allograft augmented with BioBrace, a biocomposite scaffold. The BioBrace scaffold is sutured onto the BTB allograft to reinforce the ligament and accelerate healing. Graft preparation with BioBrace, ACLR, and graft passage is described. This technique aims to reduce re-rupture risk, enhance graft healing, and improve patient-reported outcomes. BioBrace offers advantages over other augmentation approaches and synthetic materials, providing improved remodeling, biologic integration, and increased mechanical strength. Feasibility and efficacy have been demonstrated in animal models and human applications. This technique presents a promising approach to enhance ACLR outcomes.http://www.sciencedirect.com/science/article/pii/S2212628723003377 |
| spellingShingle | Elizabeth Marks Benson, M.S. Kaitlin Pyrz, B.S. Audria Wood, M.P.H. Amit Momaya, M.D. Eugene Brabston, M.D. Thomas Evely, D.O. Aaron Casp, M.D. Anterior Cruciate Ligament Reconstruction using Bone-Tendon-Bone Allograft: Surgical Technique Using Augmentation with Bio-Composite Scaffold Arthroscopy Techniques |
| title | Anterior Cruciate Ligament Reconstruction using Bone-Tendon-Bone Allograft: Surgical Technique Using Augmentation with Bio-Composite Scaffold |
| title_full | Anterior Cruciate Ligament Reconstruction using Bone-Tendon-Bone Allograft: Surgical Technique Using Augmentation with Bio-Composite Scaffold |
| title_fullStr | Anterior Cruciate Ligament Reconstruction using Bone-Tendon-Bone Allograft: Surgical Technique Using Augmentation with Bio-Composite Scaffold |
| title_full_unstemmed | Anterior Cruciate Ligament Reconstruction using Bone-Tendon-Bone Allograft: Surgical Technique Using Augmentation with Bio-Composite Scaffold |
| title_short | Anterior Cruciate Ligament Reconstruction using Bone-Tendon-Bone Allograft: Surgical Technique Using Augmentation with Bio-Composite Scaffold |
| title_sort | anterior cruciate ligament reconstruction using bone tendon bone allograft surgical technique using augmentation with bio composite scaffold |
| url | http://www.sciencedirect.com/science/article/pii/S2212628723003377 |
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