Hamstring Graft Biological Preparation for Anterior Cruciate Ligament Reconstruction.

Barbosa, Nuno Camelo; Guerra-Pinto, Francisco; Cabeleira, Claudia; Beja da Costa, Pedro · Arthrosc Tech · 2017

expert_opinion · Level V

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Abstract

The all-inside anterior cruciate ligament reconstruction (ACLR) success depends on biologic integration of the graft in the bone tunnel. Sutures wrapping the tendon in the bone tunnel may affect tendon-bone healing in shorter bone tunnels. To achieve better graft integration, we propose a variation of the graft link suture technique wherein the graft is linked chain-like to the femoral and tibial TightRope (Arthrex), which increases the tendon-bone contact area by eliminating sutures from the noose of the graft and thus may allow better graft integration.