RigidLoop Femoral Fixation Techniques
Introduction The RigidLoop (RL) Cortical Fixation System was developed by Depuy Mitek to provide a strong, reliable, and easy to use method of soft tissue femoral graft fixation. The fixation…
Arthrex TightRope Fixation of a Soft Tissue Graft
Introduction Classically, techniques for all-inside anterior cruciate ligament (ACL) reconstruction involved the use of transtibial drilling of the ACL femoral socket. Although elegant, it does not always provide an anatomical…
Cortical Screw Post Femoral Fixation Using Whipstitches, Fabric Loop, or Endobutton: The Universal Salvage
Background Importance We believe that every surgeon performing anterior cruciate ligament reconstruction (ACLR) would benefit by being able to perform at least one of the variants of cortical screw post…
The Use of CO 2Instead of Fluid in Arthroscopic Anterior Cruciate Ligament Reconstruction
Introduction During arthroscopic anterior cruciate ligament (ACL) reconstruction, adequate visualization of joint structures is usually achieved by injecting a fluid to distend the joint space. In such cases obscuration by…
Endobutton Anterior Cruciate Ligament Reconstruction Femoral Fixation
Introduction The Endobutton (EB) is the most widely used femoral fixation device worldwide that is designed specifically for soft tissue grafts. Pioneered by Dr. Thomas Rosenberg and introduced around 1990,…
Intratunnel Anterior Cruciate Ligament Graft Fixation
Abstract Anatomic ACL reconstruction depends on adequate time-zero graft fixation to allow for graft incorporation and subsequent knee stability. Biomechanical testing has demonstrated significant differences between fixation devices and excellent…
Computer-Assisted Navigation for Anterior Cruciate Ligament Reconstruction
Computer-assisted navigation for anterior cruciate ligament (ACL) reconstruction can increase precision in tunnel placement and also provide valuable outcome information, such as rotational stability. This is accomplished by registering anatomical…
Sparing the Anterior Cruciate Ligament Remnant: Is It Worth the Hassle?
Introduction The anterior cruciate ligament (ACL) is composed of two bundles, the anteromedial bundle (AM) and the posterolateral bundle (PL), measuring on average 33 mm in length and 11 mm…
Notch Anatomy and Notchplasty
The intercondylar notch is the open space that lies between the medial and lateral femoral condyles of the distal femur and houses the substance of both the anterior and posterior…
Chondrolysis: Risk-Benefit Analysis of “Caine” Local Anesthetics for Anterior Cruciate Ligament Reconstruction
Abstract Intra-articular local anesthetic injections are commonly utilized to improve analgesia and decrease opioid consumption which subsequently may result in less narcotic-related side effects (i.e. nausea, vomiting, drowsiness, and confusion)….
