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Pros and Cons of Different ACL Graft Fixation Devices

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Controversies in the Technical Aspects of ACL Reconstruction

Abstract

Graft fixation is an important component of success (or failure) of anterior cruciate ligament (ACL) reconstruction. Modern techniques, on the whole, are much stronger than first-generation techniques (such as suture over a post). This is significant as studies have demonstrated the importance of early rehabilitation to limit knee stiffness and prevent the deleterious effects of prolonged immobilization and/or limited weight-bearing for articular cartilage health and knee function. Thus, ACL fixation devices must provide strength and stiffness sufficient for rehabilitation and activities of daily living until biologic fixation has taken place. No ACL graft fixation device is perfect. The surgeon must weigh the pros and cons of the different ACL graft fixation devices before deciding which device to use for a particular patient.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Stanford University, 450 Broadway Street, Mail Code 6342, Redwood City, CA, 94063, USA

    Paul K. Herickhoff & Marc R. Safran

  2. Department of Orthopaedics and Traumatology, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China

    Patrick Yung & Kai-Ming Chan

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  1. Paul K. Herickhoff
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  2. Marc R. Safran
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  3. Patrick Yung
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  4. Kai-Ming Chan
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Correspondence to Kai-Ming Chan .

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Editors and Affiliations

  1. Institute for Medical Science in Sports, Osaka Health Science University, Osaka, Japan

    Norimasa Nakamura

  2. Istituto Ortopedico Rizzoli, University of Bologna, Bologna, Italy

    Stefano Zaffagnini

  3. Hospital for Special Surgery, New York, New York, USA

    Robert G. Marx

  4. UPMC Center for Sports Medicine, Pittsburgh, Pennsylvania, USA

    Volker Musahl

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Herickhoff, P.K., Safran, M.R., Yung, P., Chan, KM. (2017). Pros and Cons of Different ACL Graft Fixation Devices. In: Nakamura, N., Zaffagnini, S., Marx, R., Musahl, V. (eds) Controversies in the Technical Aspects of ACL Reconstruction. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-52742-9_26

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  • DOI: https://doi.org/10.1007/978-3-662-52742-9_26

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