Allograft anterior tibialis tendon with bioabsorbable interference screw fixation in anterior cruciate ligament reconstruction.
For a variety of reasons, bone-patellar tendon-bone and Achilles tendon allografts have been used more commonly in anterior cruciate ligament reconstruction. Soft-tissue allografts used mainly are the semitendinosus, gracilis, and occasionally the quadriceps tendons. The anterior tibialis tendon is a thick, strong tendon that can be prepared with one doubling of the graft, has a large cross-sectional area, and has been shown to be stronger than semitendinosus, gracilis, patellar tendon, and native anterior cruciate ligament. Use of allograft shortens surgical time, eliminates graft harvest-site morbidity, and allows for a large supply of grafts for repeat or multiple ligament procedures. This graft can be fixed to the femoral and tibial bone tunnels with bioabsorbable interference screws for a hardware-free, completely endoscopic procedure. Two- to 4-year results of allograft procedures are comparable to autograft procedures, and there have been no early failures with this described technique using anterior tibialis tendon.
Caborn
David N M
DN
Department of Orthopaedic Surgery, University of Louisville School of Medicine, Louisville, Kentucky, USA. : caborn@pop.uky.edu
Selby
Jeffrey B
JB
D000042:Absorption; D016118:Anterior Cruciate Ligament / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D001182:Arthroscopy / Q000379:methods*; D001672:Biocompatible Materials; D001863:Bone Screws; D005081:Exercise Therapy; D005500:Follow-Up Studies; D006801:Humans; D007718:Knee Injuries / Q000534:rehabilitation / Q000601:surgery; D007866:Leg; D013710:Tendons / Q000637:transplantation*; D013718:Tensile Strength; D014184:Transplantation, Homologous
D001672:Biocompatible Materials