Independent clinical appraisal of the Tape Locking Screw (TLS®) anterior cruciate ligament reconstruction technique compared with the hamstring graft technique with a minimum of 12-month follow-up

Isometric Knee Muscle Strength and Patient-Reported Measures Five Years after Anterior Cruciate Ligament Reconstruction: Comparison of Single versus Dual Autograft Hamstring Tendon Harvesting

“…The Lysholm knee score at 5 years was similar between the ST-G and ST groups, and the results were within the range of normative values for a population of this age [ 49 ]. These findings are consistent with those reported in the current literature [ 3 , 4 , 8 , 10 , 11 , 12 , 13 ].…”

“…First, ATT differences between injured and uninjured knees were less than 1 mm after 5 years in both the ST-G and the ST groups, with no significant differences between them. These results are consistent with those in the current literature when the use of ST vs. ST-G grafts is compared [ 3 , 4 , 10 , 11 , 12 , 13 ], although these studies involve data with a maximum follow-up of 3 years. Since different techniques were used by these authors, it can be assumed that the use of grafts with one or two tendons shows no differences in ATT after ACLR.…”

“…This type of reconstruction is mostly carried out through a complete tibial tunnel to deliver the graft into the femoral socket. Another alternative is using a single bundle four-strand semitendinosus tendon graft (ST4), fixed to a femoral and tibial socket through an “all inside technique” (AIT) [ 3 , 4 , 7 , 8 , 9 , 10 , 11 , 12 , 13 ]. The potential advantages of AIT include preservation of bone stock, reduced incidence of complications (tibial plateau fractures, decreased cortical bone periosteal disruption, decreased postoperative pain), improved bone–graft integration, accelerated graft maturation, increased precision of anatomic placement [ 11 , 14 , 15 , 16 ], and, usually, an ST4 graft harvest with a larger diameter graft [ 5 , 7 , 17 ].…”

“…To assess successful results after an ACLR, it is necessary to evaluate knee laxity, limb strength, and patient-reported outcome measures (PROMs) [ 18 ]. Regarding laxity, it seems that there are no differences between all-inside techniques and full tibial tunnel techniques using hamstring tendons [ 3 , 4 , 10 , 11 , 12 , 13 ]. Considering self-reported knee function, most studies report that there are no differences in the results between the use of one or two hamstring tendons [ 3 , 4 , 8 , 10 , 11 , 13 ], but other authors [ 12 ] have noted that there may be minor nonsignificant differences.…”

The effect of short-graft preparation with tape suspension and screw fixation on loss of knee extension following anterior cruciate ligament reconstruction: A retrospective cross-sectional analysis of public hospital cases from 2015 - 2017

“…One such system is the Tape Locking Screw (TLS®) which has a number of attributes that may place the patient at increased risk of LOE if tensioned with a similar technique to traditional HS grafts. The average graft diameter is larger than long HS graft techniques [22]. The graft is shorter, making elongation less likely as this is a function of both elasticity and initial graft length.…”