Transtibial tubercle fixation without hardware for anterior cruciate ligament and posterior cruciate ligament reconstruction: A new technique.
Tibial fixation with implants for both anterior and posterior cruciate ligament reconstructions (ACLR and PCLR) can be associated with a wide variety of problems. Common problems encountered include graft-tunnel mismatch when using grafts with bone blocks, graft damage or poor graft fixation using metal or absorbable implants, painful retained hardware requiring removal, and hardware interference during revision surgery. A new technique is presented using transosseous graft suture passage across the tibial tubercle followed by knot tying over a bone bridge. The technique provides a quick, simple, safe, and reproducible alternative for primary or supplemental tibial graft fixation without hardware in ACLR and PCLR.
Pasque
Charles B
CB
Department of Orthopaedic Surgery and Rehabilitation, Division of Sports Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma 73190, USA. charles-pasque@ouhsc.edu
de la Garza
Scott
S
D016118:Anterior Cruciate Ligament / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D006801:Humans; D016119:Posterior Cruciate Ligament / Q000293:injuries / Q000601:surgery*; D015203:Reproducibility of Results; D013536:Suture Techniques; D013710:Tendons / Q000637:transplantation; D013977:Tibia / Q000601:surgery*