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Applying Allogeneic Cortical Bone Press-Fit Screw in Fixation of Anterior Cruciate Ligament Reconstruction

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Advanced Application of Arthroscopy
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Abstract

There are many fixation methods in anterior cruciate ligament reconstruction by using multiple hamstring tendons. The extra cortical fixation such as Endobutton is widely used (Fig. 23.1). The extra cortical fixation has the largest strength, no cutting of the graft, and full contact between graft and tunnel; however, the fixation point is far from the anatomic insertion of the ACL on the femur which could lead to the bungee and the windshield-wiper effect (Fig. 23.2), [1–6]. How to avoid the disadvantages above is a critical problem.

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References

  1. Cheung P, Chan WL, Yen CH, Cheng SC, Woo SB, Wong TK, et al. Femoral tunnel widening after quadrupled hamstring anterior cruciate ligament reconstruction. J Orthop Surg (Hong Kong). 2010;18(2):198–202. https://doi.org/10.1177/230949901001800213.

    Article  Google Scholar 

  2. Choi NH, Oh JS, Jung SH, Victoroff BN. Correlation between endobutton loop length and tunnel widening after hamstring anterior cruciate ligament reconstruction. Am J Sports Med. 2013;41(1):101–6. https://doi.org/10.1177/0363546512466384.

    Article  PubMed  Google Scholar 

  3. Choi NH, Son KM, Yoo SY, Victoroff BN. Femoral tunnel widening after hamstring anterior cruciate ligament reconstruction with bioabsorbable transfix. Am J Sports Med. 2012;40(2):383–7. https://doi.org/10.1177/0363546511425883.

    Article  PubMed  Google Scholar 

  4. Fauno P, Kaalund S. Tunnel widening after hamstring anterior cruciate ligament reconstruction is influenced by the type of graft fixation used: a prospective randomized study. Arthroscopy. 2005;21(11):1337–41. https://doi.org/10.1016/j.arthro.2005.08.023.

    Article  PubMed  Google Scholar 

  5. Klein JP, Lintner DM, Downs D, Vavrenka K. The incidence and significance of femoral tunnel widening after quadrupled hamstring anterior cruciate ligament reconstruction using femoral cross pin fixation. Arthroscopy. 2003;19(5):470–6. https://doi.org/10.1053/jars.2003.50106.

    Article  PubMed  Google Scholar 

  6. Sabat D, Kundu K, Arora S, Kumar V. Tunnel widening after anterior cruciate ligament reconstruction: a prospective randomized computed tomography--based study comparing 2 different femoral fixation methods for hamstring graft. Arthroscopy. 2011;27(6):776–83. https://doi.org/10.1016/j.arthro.2011.02.009.

    Article  PubMed  Google Scholar 

  7. Lind M, Feller J, Webster KE. Bone tunnel widening after anterior cruciate ligament reconstruction using EndoButton or EndoButton continuous loop. Arthroscopy. 2009;25(11):1275–80. https://doi.org/10.1016/j.arthro.2009.06.003.

    Article  PubMed  Google Scholar 

  8. Qi W, Li CB, Wang JL, Zhu JL, Liu YJ. Experimental study of tendon graft fixation in anterior cruciate ligament reconstruction with cortical press-fit bolt in rabbits. Zhonghua Yi Xue Za Zhi. 2013;93(19):1503–6.

    PubMed  Google Scholar 

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Liu, Yj., Qi, W. (2020). Applying Allogeneic Cortical Bone Press-Fit Screw in Fixation of Anterior Cruciate Ligament Reconstruction. In: Liu, Yj., Xue, J., Huang, Cm., Li, Cb. (eds) Advanced Application of Arthroscopy. Springer, Singapore. https://doi.org/10.1007/978-981-15-4684-6_23

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  • DOI: https://doi.org/10.1007/978-981-15-4684-6_23

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  • Publisher Name: Springer, Singapore

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  • Online ISBN: 978-981-15-4684-6

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