[Improvement of graft fixation methods for reconstruction of the anterior cruciate ligament]

In N. N. Priorov Institute of Traumatology and Orthopedics, atografts with bone blocks have been extensively used over the last 10 years to reconstruct anterior cruciate ligament after sports, ballet, and circus injuries. The autografts are fixed by interference screws at the level of the articular space. Reconstruction of the anterior cruciate ligament by this technique was performed in more than 800 patients (99%) between 1998 and 2006. Positive outcome was achieved in the majority of the cases (93%). A more universal method for the fixation of autografts with bone blocks has been employed since 2005 using polylactic acid pins, the Rigidfix system, and Milago interference screws. The Rigidfix system is most suitable for revisional reconstruction and may serve as an alternative tool for the primary reconstruction of the anterior cruciate ligament.