The crossing internal suture augmentation technique is an all-inside technique of anterior cruciate ligament reconstruction with augmentation of the hamstring tendon autograft with a braided ultrahigh-molecular-weight polyester-polyethylene suture tape resting on the adjustable cortical buttons on both the femoral and tibial sides. The internal suture augmentation acts as a backbone supporting ...

The purpose of this study was to evaluate the effect of the AperFix device (Cayenne Medical, Inc, Scottsdale, Arizona), composed of polyetheretherketone (PEEK) polymer, on tunnel widening after hamstring anterior cruciate ligament (ACL) reconstruction as compared with 2 other fixation devices: the TransFix (Arthrex, Inc, Naples, Florida) and the EndoButton (Smith & Nephew Endoscopy, Mansfield, ...

BACKGROUND Disruption of anterior cruciate ligament (ACL) is a common ligamentous injury of the knee. The choice of graft for (ACL) reconstruction remains controversial. This prospective, randomized clinical trial aimed to compare clinical results of bone-patellar tendon-bone (BPTB) grafts and four-strand semitendinosus-gracilis (ST) grafts for ACL reconstruction over a 3-year follow-up interva...

Background: Anterior cruciate ligament (ACL) reconstructions in skeletally immature patients have an increased risk of graft failure and a decreased rate successful return to sports. (ACLRs) combined with lateral extra-articular tenodesis (LET) procedures are reported limit anterolateral rotary instability the knee, decreasing tension on ACL graft. However, open physes found pediatric present u...

Introduction Controversy surrounds reconstruction of the anterior cruciate ligament (ACL) with regards to graft choice and fixation. Most surgeons performing ACL reconstruction use an intra-articular autogenous graft from either the patellar tendon or hamstrings. It has been suggested that hamstring tendon grafts are weaker than patellar tendon grafts, although there is conflicting data where m...

PURPOSE The purpose of this study was to evaluate the effect of graft size on patient-reported outcomes and revision risk after anterior cruciate ligament (ACL) reconstruction. METHODS A retrospective chart review of prospectively collected cohort data was performed, and 263 of 320 consecutive patients (82.2%) undergoing primary ACL reconstruction with hamstring autograft were evaluated. We r...

INTRODUCTION: Recent studies have shown that fixation of a hamstring graft with a titanium button and polyester tape (EndoButton fixation) in anterior cruciate ligament (ACL) reconstruction can result in relative motion of the graft within the bone tunnel (graft-tunnel motion) under cyclic tensile loading (1). Therefore, an aggressive post-operative rehabilitation may lead to significant graft-...