Application of a Beta-Tricalcium Phosphate Graft to Minimize Bony Defect in Bone–Patella Tendon–Bone Anterior Cruciate Ligament Reconstruction
Anterior cruciate ligament (ACL) reconstruction with a bone–patellar tendon–bone autograft yields good clinical outcomes. Despite appropriate clinical outcomes, the most common complaint after reconstruction with a bone–patellar tendon–bone autograft is anterior knee pain at the donor graft sites. S...
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doaj-140af0e516d74d4abd19bc069076f2b42021-06-10T04:55:20ZengElsevierArthroscopy Techniques2212-62872018-07-0177e725e729Application of a Beta-Tricalcium Phosphate Graft to Minimize Bony Defect in Bone–Patella Tendon–Bone Anterior Cruciate Ligament ReconstructionAvinesh Agarwalla, B.S.0Richard Puzzitiello, B.S.1Grant H. Garcia, M.D.2Brian Forsythe, M.D.3Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, Illinois, U.S.A.Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, Illinois, U.S.A.Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, Illinois, U.S.A.Address correspondence to Brian Forsythe, M.D., Division of Sports Medicine, Midwest Orthopaedics at Rush, 1611 W Harrison St, Chicago, IL 60612, U.S.A.; Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, Illinois, U.S.A.Anterior cruciate ligament (ACL) reconstruction with a bone–patellar tendon–bone autograft yields good clinical outcomes. Despite appropriate clinical outcomes, the most common complaint after reconstruction with a bone–patellar tendon–bone autograft is anterior knee pain at the donor graft sites. Synthetic bone grafts, such as beta-tricalcium phosphate (β-TCP), have been previously used to fill the bony defect in fractures as well as removal of bony tumors, and have shown positive utility in improving anterior knee pain after ACL reconstruction. In this Technical Note, we describe the technique of placing a β-TCP graft in the donor graft site after bone–patellar tendon–bone ACL reconstruction. After standard arthroscopic ACL reconstruction, the β-TCP is appropriately sized with an osteotome and sagital saw before being placed into the patellar and tibial donor sites. A 0-Vicryl suture is used to suture the periosteum to secure the β-TCP graft at the donor sites. This described technique allows for appropriate sizing and secure placement of the graft to maximize bone regeneration at the donor site.http://www.sciencedirect.com/science/article/pii/S2212628718300458 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Avinesh Agarwalla, B.S. Richard Puzzitiello, B.S. Grant H. Garcia, M.D. Brian Forsythe, M.D. |
spellingShingle |
Avinesh Agarwalla, B.S. Richard Puzzitiello, B.S. Grant H. Garcia, M.D. Brian Forsythe, M.D. Application of a Beta-Tricalcium Phosphate Graft to Minimize Bony Defect in Bone–Patella Tendon–Bone Anterior Cruciate Ligament Reconstruction Arthroscopy Techniques |
author_facet |
Avinesh Agarwalla, B.S. Richard Puzzitiello, B.S. Grant H. Garcia, M.D. Brian Forsythe, M.D. |
author_sort |
Avinesh Agarwalla, B.S. |
title |
Application of a Beta-Tricalcium Phosphate Graft to Minimize Bony Defect in Bone–Patella Tendon–Bone Anterior Cruciate Ligament Reconstruction |
title_short |
Application of a Beta-Tricalcium Phosphate Graft to Minimize Bony Defect in Bone–Patella Tendon–Bone Anterior Cruciate Ligament Reconstruction |
title_full |
Application of a Beta-Tricalcium Phosphate Graft to Minimize Bony Defect in Bone–Patella Tendon–Bone Anterior Cruciate Ligament Reconstruction |
title_fullStr |
Application of a Beta-Tricalcium Phosphate Graft to Minimize Bony Defect in Bone–Patella Tendon–Bone Anterior Cruciate Ligament Reconstruction |
title_full_unstemmed |
Application of a Beta-Tricalcium Phosphate Graft to Minimize Bony Defect in Bone–Patella Tendon–Bone Anterior Cruciate Ligament Reconstruction |
title_sort |
application of a beta-tricalcium phosphate graft to minimize bony defect in bone–patella tendon–bone anterior cruciate ligament reconstruction |
publisher |
Elsevier |
series |
Arthroscopy Techniques |
issn |
2212-6287 |
publishDate |
2018-07-01 |
description |
Anterior cruciate ligament (ACL) reconstruction with a bone–patellar tendon–bone autograft yields good clinical outcomes. Despite appropriate clinical outcomes, the most common complaint after reconstruction with a bone–patellar tendon–bone autograft is anterior knee pain at the donor graft sites. Synthetic bone grafts, such as beta-tricalcium phosphate (β-TCP), have been previously used to fill the bony defect in fractures as well as removal of bony tumors, and have shown positive utility in improving anterior knee pain after ACL reconstruction. In this Technical Note, we describe the technique of placing a β-TCP graft in the donor graft site after bone–patellar tendon–bone ACL reconstruction. After standard arthroscopic ACL reconstruction, the β-TCP is appropriately sized with an osteotome and sagital saw before being placed into the patellar and tibial donor sites. A 0-Vicryl suture is used to suture the periosteum to secure the β-TCP graft at the donor sites. This described technique allows for appropriate sizing and secure placement of the graft to maximize bone regeneration at the donor site. |
url |
http://www.sciencedirect.com/science/article/pii/S2212628718300458 |
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