2015
DOI: 10.1016/j.arthro.2015.03.012
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Effect of Initial Graft Tension on Knee Stability and Graft Tension Pattern in Double-Bundle Anterior Cruciate Ligament Reconstruction

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Cited by 23 publications
(17 citation statements)
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“…The optimum tension required during graft fixation using the current ACL reconstruction techniques is controversial 1 , 2 , 3 , 4 and it is unclear whether the tension measured by a tensioner is reproduced after fixation. To enable the adjustment of graft tibial tension after initial fixation, 5 we used the modified graft wherein an adjustable loop-button device (TightRope™) is applied on the tibial side for double-bundle ACL reconstruction.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…The optimum tension required during graft fixation using the current ACL reconstruction techniques is controversial 1 , 2 , 3 , 4 and it is unclear whether the tension measured by a tensioner is reproduced after fixation. To enable the adjustment of graft tibial tension after initial fixation, 5 we used the modified graft wherein an adjustable loop-button device (TightRope™) is applied on the tibial side for double-bundle ACL reconstruction.…”
Section: Discussionmentioning
confidence: 99%
“…Several studies have reported the optimum tension required for graft fixation during anterior cruciate ligament (ACL) reconstruction. 1 , 2 , 3 , 4 However, in the clinical setting, there is no standard guideline for surgical techniques to achieve this appropriate tension. Fixation is frequently performed manually at maximum force.…”
Section: Introductionmentioning
confidence: 99%
“…However, considering stress relaxation, graft remodelling and tunnel enlargement after graft fixation, it seems plausible to apply somewhat greater initial tension than the laxity match pretension to restore normal stability after ACL reconstruction. A recent study has shown that 20 N of the initial tension was high enough to yield good anteroposterior (AP) stability after anatomic DB ACL reconstruction,57 whereas the minimum required tension to restore rotational stability could be larger than 20 N 58 59. Graft fixation angles also affect AP and rotational knee laxity in DB ACL reconstruction.…”
Section: Current State Of the Artmentioning
confidence: 99%
“…The response of tendon grafts subjected to tension has been studied [11,12], but the behavior of the grafts used in ACL reconstruction is complex, as commonly two tendons (gracilis and semitendinosus) are used together to reconstruct the ACL [13]. During normal activities, tendons and ligaments in humans are subjected to strain b 5%, which is the upper physiological limit before plastic deformation takes place [14,15].…”
Section: Introductionmentioning
confidence: 99%