Ease of sutures management of suspensory fixation devices in anterior cruciate ligament reconstruction: a technical note
Sai Krishna M L V, Hira Lal Nag, Anupam Gupta
Department of Orthopaedics, All India Institute of Medical Sciences (AIIMS), New Delhi, India
Correspondence to: Anupam Gupta, https://orcid.org/0000-0003-2289-4642
Department of Orthopaedics, All India Institute of Medical Sciences (AIIMS), Ansari Nagar, New Delhi 110029, India. Tel: +91-9971917375, E-mail: anupam1054@yahoo.com
Department of Orthopaedics, All India Institute of Medical Sciences (AIIMS), Ansari Nagar, New Delhi 110029, India. Tel: +91-9971917375, E-mail: anupam1054@yahoo.com
Received December 22, 2021; Revised January 18, 2022; Accepted January 27, 2022.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
- Abstract
- In this technical note, we used a quadrupled hamstring graft and an endobutton continuous loop (CL; Smith & Nephew, Andover, MA, USA) as an implant for fixation of the graft on the femoral side and a bioscrew on the tibial side. The standard endobutton CL has a continuous loop for graft suspension and two high tensile sutures for shuttling through the tunnels. The unloading or entanglement of these sutures is a common complication during the passage of the endobutton through the tunnels. In this technical note, we described a simple method for unlooping the looped high tensile sutures of the endobutton CL on the femoral side, which helps to avoid the aforementioned complication.
- Keywords : Anterior cruciate ligament injuries; Sutures; Arthroscopy; Hamstring tendons; Knee injuries
- References
- Murawski CD, Wolf MR, Araki D, Muller B, Tashman S, Fu FH. Anatomic anterior cruciate ligament reconstruction: current concepts and future perspective. Cartilage 2013;4(3 Suppl):27S-37S.
- Kumar C, Gupta AK, Singh SK, Jain R. Transportal anterior cruciate ligament reconstruction with quadrupled hamstring tendon graft: a prospective outcome study. Indian J Orthop 2017;51:600-5.
- Musahl V, Plakseychuk A, VanScyoc A, et al. Varying femoral tunnels between the anatomical footprint and isometric positions: effect on kinematics of the anterior cruciate ligament-reconstructed knee. Am J Sports Med 2005;33:712-8.
- Yamamoto Y, Hsu WH, Woo SL, Van Scyoc AH, Takakura Y, Debski RE. Knee stability and graft function after anterior cruciate ligament reconstruction: a comparison of a lateral and an anatomical femoral tunnel placement. Am J Sports Med 2004;32:1825-32
- Fogagnolo F, Salim R, Kfuri M. A simple technique to prevent early or late EndoButton deployment in anterior cruciate ligament reconstructions: a technical note. J Knee Surg 2018;31:75-7. Erratum in: J Knee Surg 2018;31:e1.
- 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;27:776-83.
- Ranjan R, Gaba S, Goel L, et al. In vivo comparison of a fixed loop (EndoButton CL) with an adjustable loop (TightRope RT) device for femoral fixation of the graft in ACL reconstruction: a prospective randomized study and a literature review. J Orthop Surg (Hong Kong) 2018;26:2309499018799787.
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