Introduction Tibial side fixation of soft tissue grafts has been challenging because the line of pull on the graft in the tibia is parallel to the axis of the tunnel…
Abstract In anterior cruciate ligament reconstruction, the graft length in the tunnel is critical to initial graft fixation and final tendon-bone healing. Studies indicate that a 20-mm intraosseous graft length…
Abstract Tibial fixation for anterior cruciate ligament reconstruction continues to remain the weak link biomechanically with any anterior cruciate ligament (ACL) reconstruction. Unlike the early mechanical fit that can be…
Introduction Similar outcomes have been reported after anterior cruciate ligament (ACL) reconstruction with either a bone–patellar tendon–bone graft or hamstring tendon graft, with no difference in graft rupture rates between…
Introduction Interference screws are widely used for graft fixation in anterior cruciate ligament (ACL) reconstruction, and good clinical results have been reported by several investigators. In addition to conventional metal…
Abstract Essentially, only three methods are currently used for gripping anterior cruciate ligament (ACL) grafts so that they may be fixated to bone: friction, loop or whipstitch (WSP). WSP was…
One of the most essential success factors in anterior cruciate ligament (ACL) reconstruction is the advent of the interference screw for securing the graft tissue inside the bone tunnel. During…
Introduction Femoral INTRAFIX, first introduced in 2009, is a polyethylene sheath and Polyether ether ketone (PEEK) interference screw anchor based on the design of Tibial INTRAFIX ( Fig. 73.1 )….
An ideal anchor or interference screw material needs to provide strong mechanical fixation, with the ability to completely degrade over time and become replaced by bone. Initially anchors/interference screws were…
Introduction Soft tissue anterior cruciate ligament (ACL) reconstruction using compression fixation at the aperture has been shown to achieve optimal biological and biomechanical properties. Numerous studies have proven the superior…
