Bone Quality-Independent Tibial Fixation Technique in Anterior Cruciate Ligament Reconstruction

Nirav H. Amin, M.D.; Eric H. Lin, B.A.; Cailan L. Feingold, B.S.; Alexander P. Decilveo, M.D.; David Flanigan, M.D.; Joseph N. Liu, M.D.

doi:10.1016/j.eats.2025.103619

Arthroscopy Techniques (Jul 2025)

Bone Quality-Independent Tibial Fixation Technique in Anterior Cruciate Ligament Reconstruction

Nirav H. Amin, M.D.,
Eric H. Lin, B.A.,
Cailan L. Feingold, B.S.,
Alexander P. Decilveo, M.D.,
David Flanigan, M.D.,
Joseph N. Liu, M.D.

Affiliations

Nirav H. Amin, M.D.: Premier Orthopaedic and Trauma Specialists, Pomona, California, U.S.A.
Eric H. Lin, B.A.: Keck School of Medicine of the University of Southern California, Department of Orthopaedic Surgery, Los Angeles, California, U.S.A.; Address correspondence to Eric H. Lin, B.A., 1520 San Pablo Street, Suite #2000, Los Angeles, CA 90031, U.S.A.
Cailan L. Feingold, B.S.: Keck School of Medicine of the University of Southern California, Department of Orthopaedic Surgery, Los Angeles, California, U.S.A.
Alexander P. Decilveo, M.D.: Keck School of Medicine of the University of Southern California, Department of Orthopaedic Surgery, Los Angeles, California, U.S.A.
David Flanigan, M.D.: Department of Orthopaedic Surgery, Ohio State University, Columbus, Ohio, U.S.A.
Joseph N. Liu, M.D.: Keck School of Medicine of the University of Southern California, Department of Orthopaedic Surgery, Los Angeles, California, U.S.A.

DOI: https://doi.org/10.1016/j.eats.2025.103619
Journal volume & issue: Vol. 14, no. 7
p. 103619

Abstract

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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.

Published in Arthroscopy Techniques

ISSN: 2212-6287 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Surgery: Orthopedic surgery
Website: https://www.journals.elsevier.com/arthroscopy-techniques

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