Graft Retensioning Technique Using an Adjustable-Loop Fixation Device in Arthroscopic Anterior Cruciate Ligament Reconstruction
Anterior cruciate ligament (ACL) tears are an unfortunate and devastating injury in the athletic patient. Surgical reconstruction of the ACL with a taut graft construct is necessary to restore knee stability and help expedite the patient's return to an active lifestyle. Arthroscopy-assisted ACL...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2018-02-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628717303365 |
| _version_ | 1819002576090169344 |
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| author | Joseph T. Gamboa, M.D. Edward C. Shin, M.D. Neil P. Pathare, M.D. Patrick J. McGahan, M.D. James L. Chen, M.D., M.P.H. |
| author_facet | Joseph T. Gamboa, M.D. Edward C. Shin, M.D. Neil P. Pathare, M.D. Patrick J. McGahan, M.D. James L. Chen, M.D., M.P.H. |
| author_sort | Joseph T. Gamboa, M.D. |
| collection | DOAJ |
| description | Anterior cruciate ligament (ACL) tears are an unfortunate and devastating injury in the athletic patient. Surgical reconstruction of the ACL with a taut graft construct is necessary to restore knee stability and help expedite the patient's return to an active lifestyle. Arthroscopy-assisted ACL reconstruction can be a technically involved procedure, where strong fixation limits graft motion to allow sufficient healing within the tibial and femoral tunnels at the bone-tendon interfaces. Loss of tension in a graft can cause symptomatic anterior or rotatory instability and potential retear of the ACL graft. We describe in this Technical Note and accompanying video a simple and effective technique to implant and retension a tendon graft during ACL reconstruction using a suspensory fixation device. The technical description uses a simple adjustable-loop device to provide strong cortical fixation, along with the unique ability to retension the graft in ACL reconstruction, not otherwise possible with previously described graft fixation techniques. |
| first_indexed | 2024-12-20T23:07:18Z |
| format | Article |
| id | doaj.art-ef8fd27ed2c7464c9cc8fb0185518c03 |
| institution | Directory Open Access Journal |
| issn | 2212-6287 |
| language | English |
| last_indexed | 2024-12-20T23:07:18Z |
| publishDate | 2018-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj.art-ef8fd27ed2c7464c9cc8fb0185518c032022-12-21T19:23:49ZengElsevierArthroscopy Techniques2212-62872018-02-0172e185e191Graft Retensioning Technique Using an Adjustable-Loop Fixation Device in Arthroscopic Anterior Cruciate Ligament ReconstructionJoseph T. Gamboa, M.D.0Edward C. Shin, M.D.1Neil P. Pathare, M.D.2Patrick J. McGahan, M.D.3James L. Chen, M.D., M.P.H.4Address correspondence to Joseph T. Gamboa, M.D., Advanced Orthopaedics & Sports Medicine, 450 Sutter St., Suite 400, San Francisco, CA 94108, U.S.A.; Advanced Orthopaedics & Sports Medicine, San Francisco, California, U.S.A.Advanced Orthopaedics & Sports Medicine, San Francisco, California, U.S.A.Advanced Orthopaedics & Sports Medicine, San Francisco, California, U.S.A.Advanced Orthopaedics & Sports Medicine, San Francisco, California, U.S.A.Advanced Orthopaedics & Sports Medicine, San Francisco, California, U.S.A.Anterior cruciate ligament (ACL) tears are an unfortunate and devastating injury in the athletic patient. Surgical reconstruction of the ACL with a taut graft construct is necessary to restore knee stability and help expedite the patient's return to an active lifestyle. Arthroscopy-assisted ACL reconstruction can be a technically involved procedure, where strong fixation limits graft motion to allow sufficient healing within the tibial and femoral tunnels at the bone-tendon interfaces. Loss of tension in a graft can cause symptomatic anterior or rotatory instability and potential retear of the ACL graft. We describe in this Technical Note and accompanying video a simple and effective technique to implant and retension a tendon graft during ACL reconstruction using a suspensory fixation device. The technical description uses a simple adjustable-loop device to provide strong cortical fixation, along with the unique ability to retension the graft in ACL reconstruction, not otherwise possible with previously described graft fixation techniques.http://www.sciencedirect.com/science/article/pii/S2212628717303365 |
| spellingShingle | Joseph T. Gamboa, M.D. Edward C. Shin, M.D. Neil P. Pathare, M.D. Patrick J. McGahan, M.D. James L. Chen, M.D., M.P.H. Graft Retensioning Technique Using an Adjustable-Loop Fixation Device in Arthroscopic Anterior Cruciate Ligament Reconstruction Arthroscopy Techniques |
| title | Graft Retensioning Technique Using an Adjustable-Loop Fixation Device in Arthroscopic Anterior Cruciate Ligament Reconstruction |
| title_full | Graft Retensioning Technique Using an Adjustable-Loop Fixation Device in Arthroscopic Anterior Cruciate Ligament Reconstruction |
| title_fullStr | Graft Retensioning Technique Using an Adjustable-Loop Fixation Device in Arthroscopic Anterior Cruciate Ligament Reconstruction |
| title_full_unstemmed | Graft Retensioning Technique Using an Adjustable-Loop Fixation Device in Arthroscopic Anterior Cruciate Ligament Reconstruction |
| title_short | Graft Retensioning Technique Using an Adjustable-Loop Fixation Device in Arthroscopic Anterior Cruciate Ligament Reconstruction |
| title_sort | graft retensioning technique using an adjustable loop fixation device in arthroscopic anterior cruciate ligament reconstruction |
| url | http://www.sciencedirect.com/science/article/pii/S2212628717303365 |
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