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Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 5/2008

01-05-2008 | Knee

Arthroscopic posterior cruciate ligament reconstruction using bioabsorbable cross-pin femoral fixation: a technical note

Authors: Nam-Hong Choi, Kyung-Mo Son, Brian N. Victoroff

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 5/2008

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Abstract

There are many methods for fixation of the posterior cruciate ligament grafts. We introduce a new surgical technique that provides more secure femoral and tibial fixation of a tibialis posterior allograft. The tendon was prepared as a four-stranded graft. The tibial tunnel was made using a standard trans-tibial technique. A femoral tunnel was prepared through a low anterolateral portal. The graft was inserted into the femoral tunnel through the anterolateral portal and TransFix (Arthrex, Naples, FL) was fixed at the femur. Four stands of the graft were passed through the tibial tunnel and IntraFix (DePuy Mitek, Raynham, MA) was fixed at the tibia.
Literature
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Ahmad CS, Gardner TR, Groh M, Arnouk J, Levine WN (2004) Mechanical properties of soft tissue femoral fixation devices for anterior cruciate ligament reconstruction. Am J Sports Med 32(3):635–640PubMedCrossRef
2.
Kim SJ, Kim HK, Kim HJ (1999) Arthroscopic posterior cruciate ligament reconstruction using a one-incision technique. Clin Orthop Relat Res 359:156–166PubMedCrossRef
3.
Kousa P, Jarvinen TL, Vihavainen M, Kannus P, Jarvinen M (2003) The fixation strength of six hamstring tendon graft fixation devices in anterior cruciate ligament reconstruction. Part II: tibial site. Am J Sports Med 31(2):182–188PubMed
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Milano G, Mulas PD, Ziranu F, Piras S, Manunta A, Fabbriciani C (2006) Comparison between different femoral fixation devices for ACL reconstruction with doubled hamstring tendon graft: a biomechanical analysis. Arthroscopy 22(6):660–668PubMedCrossRef
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Shelbourne KD, Nitz P (1990) Accelerated rehabilitation after anterior cruciate ligament reconstruction. Am J Sports Med 18(3):292–299PubMedCrossRef
Metadata
Title
Arthroscopic posterior cruciate ligament reconstruction using bioabsorbable cross-pin femoral fixation: a technical note
Authors
Nam-Hong Choi
Kyung-Mo Son
Brian N. Victoroff
Publication date
01-05-2008
Publisher
Springer-Verlag
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 5/2008
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-008-0487-0

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