Arthroscopic anterior cruciate ligament (ACL) reconstruction is a common procedure performed for symptomatic ACL tears, especially in athletes. The desired surgical end product with any surgical fixation device remains a taut ACL graft, which is crucial during postoperative rehabilitation to reduce the risk of knee instability and rerupture of the ACL graft. The purpose of this Technical Note and accompanying video is to describe a simple and cost-effective technique to easily retension the ACL graft after tibial fixation in ACL reconstruction using a suture disk device. The technique uses a simple suture disk device to provide strong tibial fixation, along with the unique ability to retension the ACL graft by dialing it in a clockwise direction.
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http://dx.doi.org/10.1016/j.eats.2020.05.007 | DOI Listing |
Am J Sports Med
January 2025
Department of Orthopedic Surgery, Boston Medical Center, Boston, Massachusetts, USA.
Background: Anterior cruciate ligament (ACL) tears are frequent injuries in athletes that often require surgical reconstruction so that patients may return to their previous levels of performance. While existing data on patient-reported outcomes are similar between bone-patellar tendon-bone (BTB) and hamstring tendon (HT) autografts, the literature regarding return to sport (RTS), return to previous levels of sport activity, and graft failure rate remains limited.
Purpose: To compare rates of RTS, return to previous activity levels, and graft retears among athletes undergoing primary ACL reconstruction using a BTB versus HT autograft.
Medicine (Baltimore)
January 2025
Department of Orthopaedics and Traumatology, Faculty of Medicine, Van Yuzuncu Yil University, Van, Turkey.
Anterior cruciate ligament reconstruction aims to improve knee stability and range of motion. The AperFix system consists of polymer components, and fixed-loop fixation is an established endoscopic technique. Our aim in this study was to compare the long-term clinical and radiological results of AperFix and fixed-loop fixation and to prove that the long-term results of the AperFix fixation method are at least as good as those of the fixed loop device.
View Article and Find Full Text PDFJ Clin Orthop Trauma
February 2025
Department of Orthopaedics, Sir Harkisandas Narottamdas Reliance Foundation Hospital, Mumbai, Maharashtra, India.
Introduction: Arthroscopic Anterior Cruciate Ligament Reconstruction (ACLR) with internal bracing and augmentation using tape-type sutures (TTS) has gained popularity due to its biomechanical advantages. However, concerns have emerged regarding chronic reactive synovitis, which can lead to graft failure and the need for revision surgery. The purpose of this research is to determine the prevalence of chronic reactive synovitis after TTS-reinforced ACLR.
View Article and Find Full Text PDFKnee
January 2025
Department of Anesthesiology, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India. Electronic address:
Objectives: The literature does not show any studies that correlate between the morphological parameters of knee and functional outcome after anterior cruciate ligament reconstruction. The purpose of this study was to establish a correlation of morphological parameters of the knee in (magnetic resonance imaging) MRI with functional outcome in patients who underwent anterior cruciate ligament reconstruction.
Material And Methods: This was an observational study which included 63 patients who underwent anterior cruciate ligament reconstruction.
BMC Musculoskelet Disord
January 2025
Department of Sports Medicine, Peking University Third Hospital, No. 49, Huayuanbei Road, Haidian District, Beijing, China.
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