2009
DOI: 10.1097/jsa.0b013e3181bf668c
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ACL Fixation Devices

Abstract: Secure graft fixation for anterior cruciate ligament reconstruction is an important goal. Optimally, graft fixation allows for an aggressive postoperative rehabilitation program with the goals of immediate full range of motion, full weight bearing, and an early return to athletic activity. Current anterior cruciate ligament reconstruction techniques advance soft tissue grafts with or without bone plugs into the joint to replace the damaged ligament. Segments of these grafts are fixed within a bone tunnel or on… Show more

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Cited by 56 publications
(32 citation statements)
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“…Postoperative slippage at the fixation sites, including graft elongation and reduced graft construct stiffness, contributes to increasing joint laxity and recurrent instability (Bartz et al, 2007;Cuppone and Seedhom 2001;Daniel et al, 1985;Lopez et al, 2013). Clinically significant laxity occurs in 10-30% of knees within the 4 postoperative months (Hapa and Barber 2009;Roos et al, 2004). Graft tension loss during implantation and postoperative cyclical loading accounts for 17% of the cases of ACL reconstruction laxity (Ekdahl et al, 2008;Grover et al, 2005;Tyler et al, 1999;Woo et al, 2006) or fixation failures (Brand et al, 2000;Fu et al, 1999;Giurea et al, 1999).…”
Section: Introductionmentioning
confidence: 99%
“…Postoperative slippage at the fixation sites, including graft elongation and reduced graft construct stiffness, contributes to increasing joint laxity and recurrent instability (Bartz et al, 2007;Cuppone and Seedhom 2001;Daniel et al, 1985;Lopez et al, 2013). Clinically significant laxity occurs in 10-30% of knees within the 4 postoperative months (Hapa and Barber 2009;Roos et al, 2004). Graft tension loss during implantation and postoperative cyclical loading accounts for 17% of the cases of ACL reconstruction laxity (Ekdahl et al, 2008;Grover et al, 2005;Tyler et al, 1999;Woo et al, 2006) or fixation failures (Brand et al, 2000;Fu et al, 1999;Giurea et al, 1999).…”
Section: Introductionmentioning
confidence: 99%
“…Direct fixation of the BPTB and STG autografts with a metal or bioabsorbable interference screw has demonstrated excellent long-term outcomes in ACLR in both the tibial and femoral tunnels (Gorschewsky, Stapf, Geiser, Geitner, & Neumann, 2007;Hapa & Barber, 2009;Harvey et al, 2005). The combination of sufficient strength and stiffness, ability to limit slippage and ease of insertion has seen the interference screw widely used (Gorschewsky et al, 2007;Hapa & Barber, 2009;Harvey et al, 2005).…”
Section: Graft Fixationmentioning
confidence: 99%
“…An effective fixation method must minimise tunnel widening while providing adequate strength to allow early knee ROM, early weight bearing and enabling the commencement of rehabilitation (Brand, Weiler, Caborn, Brown, & Johnson, 2000;Hapa & Barber, 2009;Harvey et al, 2005). The two methods available are direct fixation (the device directly compresses the graft against the bone e.g.…”
Section: Graft Fixationmentioning
confidence: 99%
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