title: The pullout strength and use of tibial interference screws during endoscopic ACL reconstruction surgery.
abstract: This article retrospectively reviews the last 89 ACL reconstructions done over the past 24 months by the senior author and also investigates the pullout strength of a 15-mm long interference screw in cadaveric knees. Results revealed that interference screw fixation at the tibial tunnel during endoscopic ACL reconstruction should almost always be possible by ensuring a tibial tunnel with adequate length, taking additional bone on the graft from the proximal tibia, twisting the graft, and possibly using a 15-mm interference screw.
authors.affiliation: Department of Orthopedics, Kaiser Foundation Hospital, San Francisco, CA 94118, USA.
authors.forename: J T
authors.initials: JT
authors.lastname: Kao
authors.forename: J E
authors.initials: JE
authors.lastname: Tibone
authors.forename: B
authors.initials: B
authors.lastname: Shaffer
mesh_terms: D000328:Adult; D016118:Anterior Cruciate Ligament / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D001182:Arthroscopy; D001863:Bone Screws; D016025:Bone Transplantation; D002102:Cadaver; D005260:Female; D005269:Femur / Q000601:surgery; D006801:Humans; D008297:Male; D010329:Patella; D013314:Stress, Mechanical; D013710:Tendons / Q000637:transplantation; D013977:Tibia / Q000601:surgery