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Related Experiment Video

Updated: Jun 16, 2026

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Fixation of Lateral Extra-articular Tenodesis With a Biointegrative Compression Staple.

Clay A Rahaman1, Dev Dayal1, Henry V Bonner1

  • 1Department of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, Alabama, U.S.A.

Arthroscopy Techniques
|June 23, 2025
PubMed
Summary

Anterior cruciate ligament (ACL) reconstruction can be enhanced with lateral extra-articular tenodesis (LET) using a novel OSSIOfiber staple. This technique aims to improve knee stability and reduce ACL retear rates in athletes.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Biomaterials Science

Background:

  • Anterior cruciate ligament (ACL) tears are prevalent knee injuries, especially in athletes involved in cutting and pivoting sports.
  • Current ACL reconstruction methods still face challenges with high retear rates and suboptimal outcomes in specific patient groups.
  • Lateral extra-articular tenodesis (LET) is increasingly utilized as an adjunct procedure to enhance stability and mitigate the pivot shift phenomenon after ACL reconstruction.

Purpose of the Study:

  • To present a surgical technique for Lateral Extra-articular Iliotibial Band Tenodesis (LET) fixation using the OSSIOfiber Compression Staple.
  • To highlight the potential benefits of this biointegrative implant in improving osseointegration and knee stability.
  • To offer an alternative fixation method for LET that may reduce radiographic artifacts.

Main Methods:

  • The described technique involves performing a standard ACL reconstruction procedure.
  • Subsequently, Lateral Extra-articular Tenodesis (LET) is performed for fixation using the OSSIOfiber Compression Staple.
  • The OSSIOfiber staple is a biointegrative implant designed to promote osseointegration.

Main Results:

  • The OSSIOfiber Compression Staple facilitates secure fixation for LET procedures.
  • The biointegrative nature of the implant supports osseointegration, potentially leading to enhanced long-term stability.
  • This method may offer advantages over traditional fixation techniques, including reduced susceptibility to radiographic interference.

Conclusions:

  • The OSSIOfiber Compression Staple provides a viable and potentially advantageous method for LET fixation in conjunction with ACL reconstruction.
  • This technique holds promise for improving outcomes in athletes susceptible to ACL injuries by enhancing knee stability and potentially lowering retear rates.
  • Further clinical studies are warranted to fully evaluate the long-term efficacy and benefits of this approach.