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Related Experiment Video

Updated: Sep 1, 2025

Athymic Rat Model for Evaluation of Engineered Anterior Cruciate Ligament Grafts
10:32

Athymic Rat Model for Evaluation of Engineered Anterior Cruciate Ligament Grafts

Published on: March 26, 2015

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Anatomical hamstring tendons ACL reconstruction with the "linking rings" technique.

Karl Eriksson1, Riccardo Cristiani2

  • 1Department of Orthopaedics, Stockholm South Hospital, Stockholm, Sweden; Department of Clinical Science and Education, Karolinska Institute, Stockholm, Sweden.

Journal of ISAKOS : Joint Disorders & Orthopaedic Sports Medicine
|August 13, 2022
PubMed
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Articles linked to this work by shared authors, journal, and citation graph.

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Same author

Concomitant meniscal repair and resection are not associated with ACL reoperation, and successful meniscal repair preserves patient-reported outcomes: A 2-year retrospective cohort study.

Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA·2026
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High failure rate after all-inside revision meniscal repair: Female sex and absence of ACL reconstruction increase risk.

Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA·2026
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Short-term Patient-Reported Outcomes After Primary Anterior Cruciate Ligament Reconstruction With and Without Lateral Extra-articular Tenodesis: A Matched-Cohort Analysis From the Swedish Knee Ligament Registry.

The American journal of sports medicine·2026
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Anterior cruciate ligament revision risk is associated with mismatch between hamstring graft size and body size in football players.

Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA·2026
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APKASS 2024 consensus statement on anterior cruciate ligament reconstruction, Part I: Management of paediatric anterior cruciate ligament injury.

Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology·2026
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Second ACL injuries in football players after ACL reconstruction: A systematic review and meta-analysis.

Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA·2026

This technique enhances anterior cruciate ligament reconstruction by augmenting hamstring tendon grafts with periosteum, promoting faster and stronger tendon-to-bone healing within bone tunnels.

Area of Science:

  • Orthopedic Surgery
  • Regenerative Medicine
  • Biomaterials Science

Background:

  • Hamstring tendon grafts are common for anterior cruciate ligament reconstruction but face challenges in tendon-to-bone healing.
  • Periosteum offers pluripotent stem cells, promoting osteogenic and chondrogenic healing for improved graft integration.

Discussion:

  • Presents a novel "linking rings" technique for anatomical anterior cruciate ligament reconstruction using semitendinosus tendon grafts augmented with periosteum.
  • Details graft preparation, periosteal flap harvesting, and the "linking rings" construct for enhanced graft fixation.

Key Insights:

  • Periosteum augmentation significantly enhances hamstring tendon graft healing within bone tunnels.
  • The "linking rings" technique and careful periosteal harvesting preserve stem cell viability for optimal osteointegration.
Keywords:
ACLAnterior cruciate ligamentHamstring tendons

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  • Technical pearls ensure graft tensioning and cambium layer preservation for superior outcomes.

    • Outlook:

    • This technique holds promise for improving anterior cruciate ligament reconstruction outcomes by accelerating and strengthening graft healing.
    • Further research could explore long-term efficacy and broader applications of periosteum augmentation in orthopedic procedures.