Hamstring Graft Biological Preparation for Anterior Cruciate Ligament Reconstruction

Arthrosc Tech. 2017 Feb 27;6(1):e245-e248. doi: 10.1016/j.eats.2016.09.031. eCollection 2017 Feb.

Abstract

The all-inside anterior cruciate ligament reconstruction (ACLR) success depends on biologic integration of the graft in the bone tunnel. Sutures wrapping the tendon in the bone tunnel may affect tendon-bone healing in shorter bone tunnels. To achieve better graft integration, we propose a variation of the graft link suture technique wherein the graft is linked chain-like to the femoral and tibial TightRope (Arthrex), which increases the tendon-bone contact area by eliminating sutures from the noose of the graft and thus may allow better graft integration.