Work

Simple Technique to Address Graft‐Tunnel Mismatch in Bone−Patellar Tendon−Bone Anterior Cruciate Ligament Reconstruction

Year: 2025

Type: article

Abstract: Graft-tunnel mismatch during anterior cruciate ligament reconstruction using bone-patellar tendon-bone autograft is a significant problem, and it is imperative that the orthopaedic surgeon knows how to address this intraoperatively. Graft-tunnel mismatch has been reported to be as high as 20% during anterior cruciate ligament reconstruction with bone-patellar tendon-bone autograft. We present a technique that is easily reproducible using a simple whipstitch for backup fixation after trimming the tibial-sided bone block that gives reliable tension on the graft without necessitating adjustment of femoral fixation.

Source: Arthroscopy Techniques

DOI: 10.1016/j.eats.2025.103546

Authors: Nathan Moroski, Geoff Marston, Joshua R. Eskew

Institution: Prisma Health

Language: English

Topic: Knee injuries and reconstruction techniques

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $975