A Percutaneous Technique to Reposition the Cortical Button of Adjustable-Loop Devices in Anterior Cruciate Ligament Reconstruction.

ABSTRACT: Adjustable-loop devices are relatively new but quite popular and have been routinely used for around a decade in arthroscopic anterior cruciate ligament reconstruction for hamstring graft fixation on the femur. They allow surgeons to adapt to different tunnel lengths, eliminate the need for multiple loop sizes, decrease the "bungee cord effect," maximize the amount of graft within the femoral socket available for incorporation, and allow retensioning of the graft. Apart from these advantages, certain complications are associated with the use of adjustable-loop devices. When the cortical button is being pulled up through the femoral tunnel, it may be pulled up with greater force, causing it to come out of the vastus lateralis, the iliotibial band, or even the skin. When the graft is pulled

SUBMITTER: Sabat D 

PROVIDER: S-EPMC6926299 | biostudies-literature | 2019 Nov

REPOSITORIES: biostudies-literature