Anterior Cruciate Ligament Reconstruction Using Bone–Patellar Tendon–Bone Autograft With Suture Tape Augmentation

Benson, Daniel M.; Hopper, Graeme P.; Wilson, William T.; Mackay, Gordon

doi:10.1016/j.eats.2020.09.037

Cited by 9 publications

(8 citation statements)

References 14 publications

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“…They exhibit good mechanical properties and biocompatibility. [29][30][31][32][33] The CKT is a braided technique of suture line that only relies on hand-knitting to adjust the ductility and elasticity of the suture line. When the length of each knot is 3 mm, the ductility and elasticity of the braided suture line were similar with the hamstring tendon.…”

Section: Discussionmentioning

confidence: 99%

The Chinese knotting technique assist anatomical anterior cruciate ligament reconstruction for aggressive rehabilitation

Yang

et al. 2022

Medicine

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Aggressive rehabilitation after anterior cruciate ligament (ACL) reconstruction may result in better clinical outcomes and fewer complications such as knee stiffness and weakness. We explored the effect of the Chinese knotting technique (CKT) for aggressive rehabilitation after ACL reconstruction.Ninety-one anatomical ACL reconstruction cases from 2016 to 2020 were retrospectively reviewed. All patients were operated by the same senior physician and his team. According to the reconstruction with or without CKT, the patients were divided into 2 groups. Both groups received aggressive rehabilitation.The follow-up time of 91 patients was more than 2 years. In total, 43 out of the 91 patients were in the CKT group, and 48 were in the routine group. The knee joint kinematics recorded by Opti_Knee revealed no significant difference among the CKT group, the routine group, and healthy adults at 3, 6, 12, and 24 months after the operation, respectively. The internal and external rotation angle and the anteroposterior displacement at 3 and 6 months after the operation in the CKT group were smaller than in the routine group and were similar to that of the healthy adults. There was no significant difference in flexion and extension angle, varus or valgus angle, proximal-distal displacement, or the internal or external displacement between the 2 groups. In addition, there was no significant difference in 6 degrees of freedom of the knee between the 2 groups at 12 and 24 months after the operation, respectively, which was similar to healthy adults. Compared to the routine group, the International Knee Documentation Committee scores were significantly higher in the CKT group at the 3, 6, and 12 months, respectively, but no difference was observed at 24 months (P = .749). The Lysholm score was significantly higher in the CKT group at the 3 and 6 months postoperatively, while there was no difference at 12 and 24 months, respectively.In short-term observation, the ACL reconstruction with CKT, which can sustain aggressive rehabilitation and prevent the loosening of ACL graft, can lead to better clinical outcomes and kinematics recovery of the knee compared to routine technique.

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Section: Discussionmentioning

confidence: 99%

The Chinese knotting technique assist anatomical anterior cruciate ligament reconstruction for aggressive rehabilitation

Yang

et al. 2022

Medicine

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“…Benson et al. 19 described ACLR with bone patellar tendon bone autograft augmented with suture tape. The tape was fixed independently using SwiveLock knotless anchor distal to tibial tunnel.…”

Section: Discussionmentioning

confidence: 99%

All-Inside Anterior Cruciate Ligament Reconstruction with Suture Tape Augmentation: Button Tie-Over Technique (BTOT)

ElShafie

Morsy

ElShafie

et al. 2021

Arthroscopy Techniques

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The anterior cruciate ligament (ACL) is the most common ligamentous knee injury in pivoting sports. There are multiple techniques described for ACL reconstruction; however, still there is an ongoing debate regarding the optimal technique with minimal residual laxity and least risk of rerupture. All-inside ACL reconstruction with suture tape augmentation (InternalBrace) is a newly developed method of ACL reconstruction to help address these issues. Suture tape protects the graft during ligamentization process. The aim of this article is to describe a modified all-inside ACL reconstruction technique with suture tape augmentation in which the internal brace is tied distally over the distal TightRope button without an extra method of fixation.

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“…Electron microscopic analyses showed that glycerol formed a coating on the collagen fibers, without altering their three-dimensional organization (data not shown). Additionally, the interesting work of Benson et al [ 43 ] demonstrated that a suture tape augmentation acted as a stabilizer during the early stages of the graft incorporation.…”

Section: Discussionmentioning

confidence: 99%

Second Generation of Tissue-Engineered Ligament Substitutes for Torn ACL Replacement: Adaptations for Clinical Applications

et al. 2021

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The anterior cruciate ligament (ACL) of the knee joint is one of the strongest ligaments of the body and is often the target of traumatic injuries. Unfortunately, its healing potential is limited, and the surgical options for its replacement are frequently associated with clinical issues. A bioengineered ACL (bACL) was developed using a collagen matrix, seeded with autologous cells and successfully grafted and integrated into goat knee joints. We hypothesize that, in order to reduce the cost and simplify the model, an acellular bACL can be used as a substitute for a torn ACL, and bone plugs can be replaced by endobuttons to fix the bACL in situ. First, acellular bACLs were successfully grafted in the goat model with 18% recovery of ultimate tensile strength 6 months after implantation (94 N/mm2 vs. 520). Second, a bACL with endobuttons was produced and tested in an exvivo bovine knee model. The natural collagen scaffold of the bACL contributes to supporting host cell migration, growth and differentiation in situ post-implantation. Bone plugs were replaced by endobuttons to design a second generation of bACLs that offer more versatility as biocompatible grafts for torn ACL replacement in humans. A robust collagen bACL will allow solving therapeutic issues currently encountered by orthopedic surgeons such as donor-site morbidity, graft failure and post-traumatic osteoarthritis.

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Anterior Cruciate Ligament Reconstruction Using Bone–Patellar Tendon–Bone Autograft With Suture Tape Augmentation

Cited by 9 publications

References 14 publications

The Chinese knotting technique assist anatomical anterior cruciate ligament reconstruction for aggressive rehabilitation

The Chinese knotting technique assist anatomical anterior cruciate ligament reconstruction for aggressive rehabilitation

All-Inside Anterior Cruciate Ligament Reconstruction with Suture Tape Augmentation: Button Tie-Over Technique (BTOT)

Second Generation of Tissue-Engineered Ligament Substitutes for Torn ACL Replacement: Adaptations for Clinical Applications

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