Introduction Biodegradable interference fixation screws were introduced to the market in the mid-1990s. The appeal of these devices included improved postoperative imaging compared with metallic devices, reduced graft laceration concerns,…
Anterior Cruciate Ligament Soft Tissue Femoral Cortical Fixation: Ziploop Technology The Biomet ToggleLoc fixation device (Warsaw, IN) relies on strong cortical suspensory stabilization for femoral fixation in anterior cruciate ligament…
Introduction This chapter focuses on the interference screw (IFS) and its role in hamstring graft fixation. The IFS has been established as the preferred choice for bone–patellar tendon–bone (BPTB) graft…
Introduction Aperture fixation and graft compression have shown to be key aspects of a successful anterior cruciate ligament reconstruction (ACLR). In addition, applying graft compression potentially improves fixation strength, reduces…
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…
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…
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…
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…
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,…
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…
