Fixation of Lateral Extra-articular Tenodesis With a Biointegrative Compression Staple.

Rahaman, Clay A; Dayal, Dev; Bonner, Henry V; Harrell, Maxwell L; Evely, Thomas B; Brabston, Eugene W; Casp, Aaron J; Momaya, Amit M · Arthrosc Tech · 2025

case_series · Level IV

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Abstract

Anterior cruciate ligament (ACL) tears are a common knee injury, particularly among cutting and pivoting athletes. Despite advancements, retear rates and outcomes remain unsatisfactory in certain populations. Lateral extra-articular iliotibial band tenodesis (LET) has gained traction as an adjunct to ACL reconstruction to decrease retear rates and enhance knee stability by reducing the pivot shift. We present a technique for LET fixation using the OSSIOfiber Compression Staple, a biointegrative implant that promotes osseointegration. The technique involves standard ACL reconstruction followed by LET fixation with the OSSIOfiber staple, offering potential advantages such as reduced radiographic artifacts and enhanced integration.