Technical note: Alternative soft-tissue graft preparation technique for cruciate ligament reconstruction

Charlick, Daniel A.; Caborn, David N.M.

doi:10.1053/jars.2000.17983

Cited by 42 publications

(32 citation statements)

References 11 publications

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“…11 Our first hypothesis of increased tunnel wall BV in stepdilated tunnels was proved. However, our second hypothesis of improved biomechanical strength was not proved.…”

Section: Discussionmentioning

confidence: 96%

Soft Tissue Tendon Graft Fixation in Serially Dilated or Extraction-Drilled Tibial Tunnels

et al. 2007

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“…11 Our first hypothesis of increased tunnel wall BV in stepdilated tunnels was proved. However, our second hypothesis of improved biomechanical strength was not proved.…”

Section: Discussionmentioning

confidence: 96%

Soft Tissue Tendon Graft Fixation in Serially Dilated or Extraction-Drilled Tibial Tunnels

et al. 2007

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“…However, the technical suitability and clinical success of the single-loop anterior tibialis tendon allografts in ACL reconstruction have recently been reported. 10,12,26 Also, the similarity of the structural, material, and viscoelastic properties of anterior tibialis and quadrupled hamstring tendon grafts at the time of implantation has been shown in a comprehensive biomechanical study. 14 The anterior tibialis and hamstring tendon grafts have also been shown to possess a very comparable response to retaining tendon tension.…”

Section: Discussionmentioning

confidence: 98%

Bone Density and Insertion Torque as Predictors of Anterior Cruciateligament Graft Fixation Strength

2004

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“…Charlick and Caborn [ 31 ] developed a graft preparation technique for cruciate ligament reconstruction usable in a wide range of grafts. The basis of their method is the circular placement of sutures (Whip stitch, Krackow stitch, or Baseball stitch) at the portion of the graft that will pass through a bone tunnel.…”

Section: Discussionmentioning

confidence: 99%

“…The basis of their method is the circular placement of sutures (Whip stitch, Krackow stitch, or Baseball stitch) at the portion of the graft that will pass through a bone tunnel. This permits interdigitation of screw threads and the suture and subsequently provides protection of the graft from screw damage and increases pullout strength [ 31 ]. Our suggested method of placing sutures continuously through the entire length of the graft offers greater load to failure and may also lead to greater pull out strength when used with screws in anatomic AC joint reconstruction.…”

Section: Discussionmentioning

confidence: 99%

Acromioclavicular joint reconstruction using a tendon graft: a biomechanical study comparing a novel “sutured throughout” tendon graft to a standard tendon graft

Naziri

Williams

Hayes

et al. 2016

SICOT-J

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Background: With a recurrence rate of over 30%, techniques that offer stronger acromioclavicular (AC) joint reconstruction through increased graft strength may provide longevity. The purpose of our study was to determine the biomechanical strength of a novel tendon graft sutured throughout compared to a native tendon graft in Grade 3 anatomical AC joint reconstruction. Methods: For this in vitro experiment, nine paired (n = 18) embalmed cadaveric AC joints of three males and six females (age 86 years, range 51–94 years) were harvested. Anatomic repair with fresh bovine Achilles tendon grafts without bone block was simulated. Specimens were divided into two groups; with group 1 using grafts with ultra-high molecular-weight polyethylene (UHMWPE) suture ran throughout the entire length. In group 2, reconstruction with only native allografts was performed. The distal scapula and humerus were casted in epoxy compound and mounted on the mechanical testing machine. Tensile tests were performed using a mechanical testing machine at the rate of 50 mm/min. Maximum load and displacement to failure were collected. Results: The average load to failure was significantly higher for group 1 compared to group 2, with mean values of 437.5 N ± 160.7 N and 94.4 N ± 43.6 N, (p = 0.001). The average displacement to failure was not significantly different, with 29.7 mm ± 10.6 mm in group 1 and 25 mm ± 9.1 mm in group 2 (p = 0.25). Conclusion: We conclude that a UHMWPE suture reinforced graft can provide a 3.6 times stronger AC joint reconstruction compared to a native graft.

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Technical note: Alternative soft-tissue graft preparation technique for cruciate ligament reconstruction

Cited by 42 publications

References 11 publications

Soft Tissue Tendon Graft Fixation in Serially Dilated or Extraction-Drilled Tibial Tunnels

Soft Tissue Tendon Graft Fixation in Serially Dilated or Extraction-Drilled Tibial Tunnels

Bone Density and Insertion Torque as Predictors of Anterior Cruciateligament Graft Fixation Strength

Acromioclavicular joint reconstruction using a tendon graft: a biomechanical study comparing a novel “sutured throughout” tendon graft to a standard tendon graft

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