All-Inside Anterior Cruciate Ligament Reconstruction with Suture Tape Augmentation: Button Tie-Over Technique (BTOT).

Waly, Ahmed Hassan; ElShafie, Hosam Ibraheiem; Morsy, Mohamed Gamal; ElShafie, Marwan Hosam; Galal, Mostafa Ashraf; Mohamed Ayman, El Hussein; Gawish, Hesham Mohamed · Arthrosc Tech · 2021

expert_opinion · Level V

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Abstract

The anterior cruciate ligament (ACL) is the most common ligamentous knee injury in pivoting sports. There are multiple techniques described for ACL reconstruction; however, still there is an ongoing debate regarding the optimal technique with minimal residual laxity and least risk of rerupture. All-inside ACL reconstruction with suture tape augmentation (InternalBrace) is a newly developed method of ACL reconstruction to help address these issues. Suture tape protects the graft during ligamentization process. The aim of this article is to describe a modified all-inside ACL reconstruction technique with suture tape augmentation in which the internal brace is tied distally over the distal TightRope button without an extra method of fixation.