Anterior Cruciate Ligament Reconstruction Using Bone–Patellar Tendon–Bone Autograft With Suture Tape Augmentation
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 t...
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2021-02-01
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Series: | Arthroscopy Techniques |
Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628720302802 |
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doaj-6fb7d9ce2eec4da9b219762e7fbbeeb62021-06-11T05:13:53ZengElsevierArthroscopy Techniques2212-62872021-02-01102e249e255Anterior Cruciate Ligament Reconstruction Using Bone–Patellar Tendon–Bone Autograft With Suture Tape AugmentationDaniel M. Benson, M.B.Ch.B., M.R.C.S.0Graeme P. Hopper, M.B.Ch.B., M.Sc., M.R.C.S.1William T. Wilson, M.B.Ch.B., B.Sc., M.R.C.S., M.F.S.E.M.2Gordon M. Mackay, M.D.3College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, Scotland; Address correspondence to Daniel M. Benson, M.B.Ch.B., M.R.C.S., College of Medical, Veterinary and Life Sciences, University of Glasgow, 120 University Place, Glasgow, Scotland, G12 8TA.College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, ScotlandDepartment of Biomedical Engineering, University of Strathclyde, Glasgow, ScotlandUniversity of Stirling, Stirling, ScotlandThe 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.http://www.sciencedirect.com/science/article/pii/S2212628720302802 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
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. |
spellingShingle |
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. Anterior Cruciate Ligament Reconstruction Using Bone–Patellar Tendon–Bone Autograft With Suture Tape Augmentation Arthroscopy Techniques |
author_facet |
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. |
author_sort |
Daniel M. Benson, M.B.Ch.B., M.R.C.S. |
title |
Anterior Cruciate Ligament Reconstruction Using Bone–Patellar Tendon–Bone Autograft With Suture Tape Augmentation |
title_short |
Anterior Cruciate Ligament Reconstruction Using Bone–Patellar Tendon–Bone Autograft With Suture Tape Augmentation |
title_full |
Anterior Cruciate Ligament Reconstruction Using Bone–Patellar Tendon–Bone Autograft With Suture Tape Augmentation |
title_fullStr |
Anterior Cruciate Ligament Reconstruction Using Bone–Patellar Tendon–Bone Autograft With Suture Tape Augmentation |
title_full_unstemmed |
Anterior Cruciate Ligament Reconstruction Using Bone–Patellar Tendon–Bone Autograft With Suture Tape Augmentation |
title_sort |
anterior cruciate ligament reconstruction using bone–patellar tendon–bone autograft with suture tape augmentation |
publisher |
Elsevier |
series |
Arthroscopy Techniques |
issn |
2212-6287 |
publishDate |
2021-02-01 |
description |
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. |
url |
http://www.sciencedirect.com/science/article/pii/S2212628720302802 |
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