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Ease of sutures management of suspensory fixation devices in anterior cruciate ligament reconstruction: a technical note
Arthrosc Orthop Sports Med 2022;9:34-36
Published online May 1, 2022;
© 2022 Korean Arthroscopy Society and Korean Orthopedic Society for Sports Medicine.

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,
Department of Orthopaedics, All India Institute of Medical Sciences (AIIMS), Ansari Nagar, New Delhi 110029, India. Tel: +91-9971917375, E-mail:
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 ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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
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