Triple Hybrid Tibial Anterior Cruciate Ligament Graft Fixation

Armin Runer; Jakob Hax; Pablo Gelber; Vincent A Stadelmann; Stefan Preiss; Gian Salzmann

doi:10.1016/j.eats.2023.08.009

Triple Hybrid Tibial Anterior Cruciate Ligament Graft Fixation

Arthrosc Tech. 2023 Nov 27;12(12):e2375-e2379. doi: 10.1016/j.eats.2023.08.009. eCollection 2023 Dec.

Authors

Armin Runer¹, Jakob Hax², Pablo Gelber³, Vincent A Stadelmann⁴, Stefan Preiss², Gian Salzmann²

Affiliations

¹ Department of Sports Orthopaedics, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.
² Departments of Hip and Knee Surgery, Schulthess Klinik, Zürich, Switzerland.
³ Department of Orthopaedic Surgery, Hospital de la Santa Creu i Sant Pau, Universitat Autonoma de Barcelona, Barcelona, Spain.
⁴ Research and Development, Schulthess Klinik, Zürich, Switzerland.

Abstract

Optimal graft fixation in anterior cruciate ligament reconstruction is critical. Several direct and indirect methods of graft fixation exist, each with advantages and disadvantages. This Technical Note describes a tibial hybrid anterior cruciate ligament graft fixation technique combining direct and indirect fixation methods, including autologous bone augmentation of the drill tunnel using cancellous bone fragments.