Tibial Press-Fit Fixation Technique in Anterior Cruciate Ligament Reconstruction Surgery

Yavuz Kocabey; Cem Yıldırım; Mahir Mahirogulları; Alper Kaya

doi:10.1016/j.eats.2023.07.043

Tibial Press-Fit Fixation Technique in Anterior Cruciate Ligament Reconstruction Surgery

Arthrosc Tech. 2023 Oct 30;12(11):e2071-e2076. doi: 10.1016/j.eats.2023.07.043. eCollection 2023 Nov.

Authors

Yavuz Kocabey¹, Cem Yıldırım², Mahir Mahirogulları³, Alper Kaya⁴

Affiliations

¹ Orthopaedics & Traumatology, Kocabey Clinic, Istanbul, Turkey.
² Başakşehir Çam and Sakura City Hospital, Department of Orthopedics and Traumatology, Istanbul, Turkey.
³ Şişli Memorial Hospital, Department of Orthopedics and Traumatology, Istanbul, Turkey.
⁴ Acıbadem Altunizade Hospital, Department of Orthopedics and Traumatology, Istanbul, Turkey.

Abstract

Implant-free press-fit tibial fixation technique has recently gained popularity in anterior cruciate ligament reconstruction because it does not cause tunnel widening, does not cause complications associated with additional fixation materials, allows bone-to-bone healing, and does not cause defects in revision surgery. Bone-patellar tendon autograft offers the advantage of direct bone-to-bone integration of the graft, and anterior knee pain is less expected than bone-patellar tendon-bone autograft. This technical report includes details of arthroscopic ACL reconstruction of patellar tendon-tibial tubercle bone autograft distal press-fit fixation technique. We call this the Kocabey distal press-fit technique.