Work

Intra‐articular Extender Button Deployment Without a Secondary Incision for Salvage of Compromised Femoral Cortical Fixation in Anterior Cruciate Ligament Reconstruction

Year: 2026

Type: article

Abstract: As suspensory fixation techniques for anterior cruciate ligament grafts gain popularity, so does the need to troubleshoot when intraoperative complications arise. A compromised lateral femoral cortex that cannot support the suspensory fixation is a complex intraoperative complication that can lead to graft failure. During these situations, an extender button is often used via a secondary incision. The technique described in this article allows for intra-articular passage of the extender button without the need for a secondary incision using 2-0 Vicryl sutures to attach the extender button to the suspensory button prior to graft passage. This cost-effective method can decrease operative time and potentially decrease postoperative pain and wound complications by foregoing the need for a second incision.

Source: Arthroscopy Techniques

DOI: 10.1002/atn2.70371

Authors: Priya Singh, Brandon Boyd, D’Arcy Marsh, Ferdinand J. Chan

Institutions: Montefiore Medical Center, Montefiore Health System

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