Allograft bone augmentation in anterior cruciate ligament reconstruction

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
Nicholas A Sgaglione, John A Douglas

Abstract

Anterior cruciate ligament (ACL) reconstruction is a commonly performed procedure associated with predictable results in most patients. Intraoperative and postoperative complications can occur in up to 20% of surgeries and could result in the need for revision procedures. The following technical report describes the use of allograft corticocancellous bone for supplemental interference fixation of a bone-patellar tendon-bone ACL autograft within a tibial tunnel in which anterior widening occurred as a complication of reaming. This technique was used to obtain and improve aperture outlet fixation of the autograft within the tibial tunnel while maintaining adequate position and tension on the ACL graft-fixation construct. Clinical follow up at 36 months has revealed radiographic incorporation of the allograft into the tibial tunnel as well as optimal subjective, objective, and functional outcomes as measured by patient response, physical examination, and serial KT-1000 (MEDmetric, San Diego, CA) arthrometer data. This technique could be useful in revision cases in which tunnel enlargement and/or widening is noted.

References

Mar 1, 1989·The American Journal of Sports Medicine·M S HefzyF R Noyes
Sep 1, 1985·Clinical Orthopaedics and Related Research·Y Tegner, J Lysholm
May 1, 1982·The American Journal of Sports Medicine·J Lysholm, J Gillquist
Aug 1, 1995·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·D Brettler, M Soudry
Jan 1, 1993·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·F HeftiH U Stäubli
Feb 1, 1996·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·B D DworskyB R Bach
Dec 1, 1996·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·E E Berg
Apr 1, 1997·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·N A Sgaglione, R E Schwartz
Jun 3, 1998·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·P AgliettiR Buzzi
Oct 27, 1998·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·M J MatavaR A Shively
Dec 16, 1998·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·P DelincéD Hardy
Jul 6, 2000·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·F A Barber
Feb 6, 2002·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Nicholas A SgaglioneThomas R Carter

❮ Previous
Next ❯

Citations

Jan 30, 2010·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Alcindo SilvaElisabete Pinto
May 10, 2006·International Orthopaedics·Raffaele IorioAndrea Ferretti
Jul 14, 2010·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Stuart RoyPeter Dobson
Feb 15, 2015·The American Journal of Sports Medicine·Alexander E WeberScott A Rodeo
Aug 17, 2010·The American Journal of Sports Medicine·Ganesh V KamathRobert T Burks
Mar 20, 2021·Arthroscopy Techniques·Ibrahim M HaidarBertrand Sonnery-Cottet

❮ Previous
Next ❯

Related Concepts

Related Feeds

Allogenic & Autologous Therapies

Allogenic therapies are generated in large batches from unrelated donor tissues such as bone marrow. In contrast, autologous therapies are manufactures as a single lot from the patient being treated. Here is the latest research on allogenic and autologous therapies.

Related Papers

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
C FinkM Rieger
Journal of Hepatology
Paolo MuiesanGiorgina Mieli-Vergani
Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
Amy L McIntoshMichael J Stuart
© 2022 Meta ULC. All rights reserved