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KMID : 1037920170040010034
Arthroscopy and Orthopedic Sports Medicine
2017 Volume.4 No. 1 p.34 ~ p.38
Additional post-tie for unstable femoral suspensory fixation during anterior cruciate ligament reconstruction using TightRope¢ç RT: clinical reports on 3 cases
Choi Seung-Hyuk

Ha Jeong-Ku
Jun Dal-Jae
Seo Jeong-Gook
Park Jung-Ho
Abstract
Femoral suspension devices in anterior cruciate ligament reconstruction provide a simple and safe way to make a strong femoral fixation of grafts. But making an accurate femoral fixation of the graft is technically difficult and femoral cortical fractures may induce instability and, thereby, fixation loss. To this end, we investigated the effectiveness of additional post-ties to augment femoral fixation in adjustable-loop fixation techniques such as the TightRope¢ç RT system (Arthrex Inc., USA). The additional post-ties were created by re-using the shortening strands, which are used to advance the buttons of the TightRope¢ç RT to the femoral cortex, to tie an auxiliary knot around a screw and washer at the superior femoral tunnel.
KEYWORD
Anterior cruciate ligament reconstruction, TightRope¢ç RT, Post-tie, Suspensory fixation
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