Internal Suture Augmentation Technique to Protect the Anterior Cruciate Ligament Reconstruction Graft

The anterior cruciate ligament suture augmentation technique is a method to augment anterior cruciate ligament reconstruction (ACLR) with autologous hamstring tendons using a braided ultrahigh–molecular weight polyester or polyethylene suture or suture tape and fixed on both the femoral and tibial s...

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Main Authors: Mohamed Aboalata, M.D., Ashraf Elazab, M.D., Abdelsamie Halawa, M.D., Andreas B. Imhoff, M.D., Yehia Bassiouny, M.D.
Format: Article
Language:English
Published: Elsevier 2017-10-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628717301858
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author Mohamed Aboalata, M.D.
Ashraf Elazab, M.D.
Abdelsamie Halawa, M.D.
Andreas B. Imhoff, M.D.
Yehia Bassiouny, M.D.
author_facet Mohamed Aboalata, M.D.
Ashraf Elazab, M.D.
Abdelsamie Halawa, M.D.
Andreas B. Imhoff, M.D.
Yehia Bassiouny, M.D.
author_sort Mohamed Aboalata, M.D.
collection DOAJ
description The anterior cruciate ligament suture augmentation technique is a method to augment anterior cruciate ligament reconstruction (ACLR) with autologous hamstring tendons using a braided ultrahigh–molecular weight polyester or polyethylene suture or suture tape and fixed on both the femoral and tibial sides independent of the graft to act as a backup or secondary stabilizer until complete integration and ligamentization of the graft take place. The technique is proposed to allow early rehabilitation and return to sports after ACLR and may be advantageous in patients with a high body mass index and in cases with small grafts (7 or 7.5 mm in diameter). In such situations the technique is supposed to decrease the risk of reinjury, as well as the degree of postoperative lengthening or stretching of the graft, in the early postoperative avascular phase. We describe graft preparation with the internal suture augmentation technique in arthroscopic ACLR using a cortical button system on the femoral side and a Bio-Interference Screw (Arthrex, Naples, FL) on the tibial side.
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spelling doaj.art-66b2dec536f5423581e3654978fc05122022-12-21T18:59:13ZengElsevierArthroscopy Techniques2212-62872017-10-0165e1633e1638Internal Suture Augmentation Technique to Protect the Anterior Cruciate Ligament Reconstruction GraftMohamed Aboalata, M.D.0Ashraf Elazab, M.D.1Abdelsamie Halawa, M.D.2Andreas B. Imhoff, M.D.3Yehia Bassiouny, M.D.4Department of Orthopaedic Surgery, Mansoura University Hospital, Faculty of Medicine, Mansoura University, Mansoura, Egypt; Address correspondence to Mohamed Aboalata, M.D., Department of Orthopaedic Surgery, Mansoura University Hospitals, Faculty of Medicine, Mansoura University, Mansoura, Egypt.Joint Center, Orthopedic Department, October 6 University, 6th of October, EgyptDepartment of Orthopaedic Surgery, Benha University Hospital, Benha University, Benha, EgyptDepartment of Orthopaedic Sports Medicine, Klinikum rechts der Isar, Munich, GermanyDepartment of Orthopaedic Surgery, Mansoura University Hospital, Faculty of Medicine, Mansoura University, Mansoura, EgyptThe anterior cruciate ligament suture augmentation technique is a method to augment anterior cruciate ligament reconstruction (ACLR) with autologous hamstring tendons using a braided ultrahigh–molecular weight polyester or polyethylene suture or suture tape and fixed on both the femoral and tibial sides independent of the graft to act as a backup or secondary stabilizer until complete integration and ligamentization of the graft take place. The technique is proposed to allow early rehabilitation and return to sports after ACLR and may be advantageous in patients with a high body mass index and in cases with small grafts (7 or 7.5 mm in diameter). In such situations the technique is supposed to decrease the risk of reinjury, as well as the degree of postoperative lengthening or stretching of the graft, in the early postoperative avascular phase. We describe graft preparation with the internal suture augmentation technique in arthroscopic ACLR using a cortical button system on the femoral side and a Bio-Interference Screw (Arthrex, Naples, FL) on the tibial side.http://www.sciencedirect.com/science/article/pii/S2212628717301858
spellingShingle Mohamed Aboalata, M.D.
Ashraf Elazab, M.D.
Abdelsamie Halawa, M.D.
Andreas B. Imhoff, M.D.
Yehia Bassiouny, M.D.
Internal Suture Augmentation Technique to Protect the Anterior Cruciate Ligament Reconstruction Graft
Arthroscopy Techniques
title Internal Suture Augmentation Technique to Protect the Anterior Cruciate Ligament Reconstruction Graft
title_full Internal Suture Augmentation Technique to Protect the Anterior Cruciate Ligament Reconstruction Graft
title_fullStr Internal Suture Augmentation Technique to Protect the Anterior Cruciate Ligament Reconstruction Graft
title_full_unstemmed Internal Suture Augmentation Technique to Protect the Anterior Cruciate Ligament Reconstruction Graft
title_short Internal Suture Augmentation Technique to Protect the Anterior Cruciate Ligament Reconstruction Graft
title_sort internal suture augmentation technique to protect the anterior cruciate ligament reconstruction graft
url http://www.sciencedirect.com/science/article/pii/S2212628717301858
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