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KMID : 1037920220090010034
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Arthroscopy and Orthopedic Sports Medicine
2022 Volume.9 No. 1 p.34 ~ p.36
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Ease of sutures management of suspensory fixation devices in anterior cruciate ligament reconstruction: a technical note
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Sai Krishna M L V
Nag Hira Lal
Gupta Anupam
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Abstract
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In this technical note, we used a quadrupled hamstring graft and an endobutton continuous loop (CL; Smith & Nephew, Andover, MA, USA) as an implant for fixation of the graft on the femoral side and a bioscrew on the tibial side. The standard endobutton CL has a continuous loop for graft suspension and two high tensile sutures for shuttling through the tunnels. The unloading or entanglement of these sutures is a common complication during the passage of the endobutton through the tunnels. In this technical note, we described a simple method for unlooping the looped high tensile sutures of the endobutton CL on the femoral side, which helps to avoid the aforementioned complication.
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KEYWORD
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Anterior cruciate ligament injuries, Sutures, Arthroscopy, Hamstring tendons, Knee injuries
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