Bone Quality-Independent Tibial Fixation Technique in Anterior Cruciate Ligament Reconstruction
Nirav H. Amin, Eric H. Lin, Cailan L. Feingold, Alexander P. Decilveo, David Flanigan, Joseph N. Liu

TL;DR
This paper introduces a new tibial fixation method for ACL reconstruction that works regardless of bone quality.
Contribution
A novel screw, washer, and cap system for tibial fixation that does not rely on bone quality.
Findings
The technique allows complete entrapment of a soft tissue graft inside the device.
It provides interference fixation without depending on cancellous bone quality.
Abstract
Optimal tibial fixation in anterior cruciate ligament reconstruction is critical. Both interference and suspensory graft fixation techniques exist, each with advantages and disadvantages. This Technical Note describes a tibial fixation technique using a screw, washer, and cap system that allows complete entrapment of a soft tissue graft inside the device, allowing for interference fixation without dependance on the quality of the patient's cancellous bone.
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Taxonomy
TopicsKnee injuries and reconstruction techniques · Total Knee Arthroplasty Outcomes · Shoulder Injury and Treatment
