Anterior Cruciate Ligament Reconstruction Using Bone–Patellar Tendon–Bone Autograft With Suture Tape Augmentation

• Main Authors: Daniel M. Benson, M.B.Ch.B., M.R.C.S., Graeme P. Hopper, M.B.Ch.B., M.Sc., M.R.C.S., William T. Wilson, M.B.Ch.B., B.Sc., M.R.C.S., M.F.S.E.M., Gordon M. Mackay, M.D.
• Format: Article
• Language: English
• Published: Elsevier 2021-02-01
• Series: Arthroscopy Techniques
• Online Access: http://www.sciencedirect.com/science/article/pii/S2212628720302802

The anterior cruciate ligament (ACL) is the most commonly injured ligament in the knee, with injury usually occurring as a result of multidirectional sports. The incidence of ACL injury has continued to increase, with most patients opting for surgery to improve stability as well as permit a return to sport. Traditional methods of ACL reconstruction can achieve this but are not without their problems, including graft rupture, residual laxity, and donor-site morbidity. There is therefore a requirement for further research into newer, innovative surgical techniques to help improve complication rates. This article describes, with video illustration, ACL reconstruction using a reduced-size bone–patellar tendon–bone autograft with suture tape augmentation. The augmentation acts as a stabilizer during the early stages of graft incorporation while resisting against reinjury during an accelerated recovery. The ability to use a reduced-size graft decreases the donor-site burden, and retention of residual native ACL tissue, when possible, may help with proprioception.