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Author Spotlight: Double Posteromedial Approach for Treating Posterior Cruciate Ligament Cysts
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Postless Tape Augmentation for Posterior Cruciate Ligament Reconstruction.

Matthew J Hartwell1, Daniel B Goldberg1, Samuel G Moulton1

  • 1Department of Orthopaedic Surgery, University of California-San Francisco, San Francisco, California, U.S.A.

Arthroscopy Techniques
|May 4, 2023
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Summary

This study presents a novel postless tape augmentation technique for posterior cruciate ligament (PCL) reconstruction using an allograft. The method ensures equal tensioning of graft and augment, avoiding extra implants and potential stress shielding.

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Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering
  • Sports Medicine

Background:

  • Posterior cruciate ligament (PCL) reconstruction techniques often struggle with residual laxity.
  • Suture or tape augmentation is used to prevent graft elongation but incurs costs and risks stress shielding.
  • Current augmentation methods require additional implants for fixation.

Purpose of the Study:

  • To introduce a novel postless tape augmentation technique for allograft PCL reconstruction.
  • To enable equal tensioning of the graft and augment without additional fixation implants.
  • To address the challenges of cost and stress shielding associated with current augmentation methods.

Main Methods:

  • A postless tape augmentation technique was developed for PCL reconstruction.
  • The technique utilizes a sheath and screw construct for augment fixation.
  • This method allows for simultaneous and equal tensioning of the allograft and the tape augment.

Main Results:

  • The described technique provides a method for postless tape augmentation in PCL reconstruction.
  • It facilitates equal tensioning of the graft and augment, mitigating stress shielding concerns.
  • The technique eliminates the need for separate implants for augment fixation, potentially reducing costs.

Conclusions:

  • This innovative technique offers a cost-effective and effective solution for PCL reconstruction augmentation.
  • It successfully addresses the challenges of residual laxity and graft elongation.
  • The postless design and equal tensioning mechanism represent a significant advancement in PCL reconstruction surgery.