Recessed femoral interference screws in anterior cruciate ligament reconstruction.
There are multiple modes of femoral fixation for the treatment of the anterior cruciate ligament (ACL)-deficient knee. Femoral interference screws are commonly used and are often buried to accommodate a graft-tunnel mismatch. After performing ACL reconstructions and imaging the ACL in 3 cadaveric knee specimens, obvious graft excursion and impingement was seen with recessed femoral interference screw fixation. The consequences of impingement are well known, and when faced with a graft-tunnel mismatch, alternative modes of fixation are advised.
Shah
Anup A
AA
University of Texas Health Science Center, San Antonio, TX, USA. anupshah78@hotmail.com
Heckman
Michael M
MM
Gilley
James S
JS
D016118:Anterior Cruciate Ligament / Q000601:surgery*; D001863:Bone Screws; D006801:Humans; D007719:Knee Joint / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000295:instrumentation* / Q000379:methods