AI Article Synopsis
- Cortical suspension is a common technique for fixing the femur during ACL reconstruction, focusing on maximizing graft contact with tunnel walls.
- The technique aims to simplify the process by reducing the need for hyperflexion and avoiding the flip step, which lowers the chance of complications.
- Both femoral and tibial tunnels are created using the same guide in an outside-in manner, and the graft is positioned to improve fit with the femoral cortex.
Article Abstract
Cortical suspension is one of the most frequently used methods of femoral fixation in anterior cruciate ligament reconstruction. We present a simple technique for anterior cruciate ligament reconstruction using a suspension device for femoral fixation. The purposes of this technique are to ensure greater contact between the graft and the tunnel walls-a goal that is achieved by using the femoral fixation device with the shortest possible loop-to avoid the flip step and the need for hyperflexion, and in short, to minimize the risk of complications that can occur when using the anteromedial portal to drill the femoral tunnel. To this end, both the femoral and tibial tunnels are created in an outside-in manner and with the same guide. The graft is passed through in a craniocaudal direction, and the suspension device is fitted inside an expansion piece for a better adaptation to the femoral cortex.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4044515 | PMC |
| http://dx.doi.org/10.1016/j.eats.2013.12.001 | DOI Listing |
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