Modified cross-pin femoral fixation using long needles, polydioxanone suture, and traction suture for hamstring anterior cruciate ligament reconstruction

Citation
Jj. Lam et al., Modified cross-pin femoral fixation using long needles, polydioxanone suture, and traction suture for hamstring anterior cruciate ligament reconstruction, ARTHROSCOPY, 17(3), 2001, pp. 324-328
Citations number
6
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Ortopedics, Rehabilitation & Sport Medicine
Journal title
ARTHROSCOPY
ISSN journal
0749-8063 → ACNP
Volume
17
Issue
3
Year of publication
2001
Pages
324 - 328
Database
ISI
SICI code
0749-8063(200103)17:3<324:MCFFUL>2.0.ZU;2-D
Abstract
The use of cross-pin femoral fixation in anterior cruciate ligament (ACL) r econstruction using semitendinosus and gracilis (ST/G) tendons has been sho wn to be biomechanically sound. As a result of some technical problems that we encountered, we modified the technique of the DePuy OrthoTech Xact ACL Graft Fixation System (DePuy, Warsaw, IN) using No. 2/0 polydioxanone sutur e (PDS) with long needles normally used for inside-out meniscal repair. In addition, a No. 5 Ethibond suture loop (Ethicon, Somerville, NJ) is used fo r traction of the ST/G graft up the femoral tunnel. Using a 2-suture loops technique, the traction suture loop offers a more effective in-line pull fo r the graft and it pulls the ST/G loops slightly higher than the alignment PDS. By so doing, it lessens the chance of kinking the alignment guidewire or even amputating the graft. Although not reported in literature, this typ e of graft complication is possible in other single-alignment suture or gui dewire techniques.