Endopearl augmentation of bioabsorbable interference screw fixation of a soft tissue tendon graft in a tibial tunnel


      In this technical note, we introduce a new technique for tibial side soft tissue graft fixation using a bioabsorbable interference screw augmented with an EndoPearl (Linvatec, Largo, FL) for ACL reconstruction. This technique will enable the knee surgeon to use shorter grafts while minimizing slippage without reducing fixation strength.

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        • Caborn D.N.
        • Coen M.
        • Neef R
        • et al.
        Quadrupled semitendinosus-gracilis autograft fixation in the femoral tunnel.
        Arthroscopy. 1998; 14: 241-245
        • Haut Donahue T.L.
        • Howell S.M.
        • Hull M.L.
        • Gregersen C.
        A biomechanical evaluation of anterior and posterior tibialis tendons as suitable single-loop anterior cruciate ligament grafts.
        Arthroscopy. 2002; 18: 589-597
        • Barrett G.R.
        • Noojin F.K.
        • Hartzog C.W.
        • Nash C.R.
        Reconstruction of the anterior cruciate ligament in females.
        Arthroscopy. 2002; 18: 46-54
        • Corry I.S.
        • Webb J.M.
        • Clingeleffer A.J.
        • Pinczewski L.A.
        Arthroscopic reconstruction of the anterior cruciate ligament.
        Am J Sports Med. 1999; 27: 444-454
        • Aune A.K.
        • Holm I.
        • Risberg M.A
        • et al.
        Four-strand hamstring tendon autograft compared with patellar tendon-bone autograft for anterior cruciate ligament reconstruction.
        A randomized study with two-year follow-up. Am J Sports Med. 2001; 29: 722-728
        • Nakamura N.
        • Horibe S.
        • Sasaki S
        • et al.
        Evaluation of active knee flexion and hamstring strength after anterior cruciate ligament reconstruction using hamstring tendons.
        Arthroscopy. 2002; 18: 598-602
        • Caborn D.N.
        • Selby J.B.
        Allograft anterior tibialis tendon with bioabsorbable interference screw fixation in anterior cruciate ligament reconstruction.
        Arthroscopy. 2002; 18: 102-105
        • Rodeo S.A.
        • Arnoczky S.P.
        • Torzilli P.A
        • et al.
        Tendon-healing in a bone tunnel.
        J Bone Joint Surg Am. 1993; 75: 1795-1803
        • Olson E.J.
        • Harner C.D.
        • Fu F.H.
        • Silbey M.B.
        Clinical use of fresh, frozen soft tissue allografts.
        Orthop. 1992; 15: 1225-1232
        • Charlick D.A.
        • Caborn D.N.
        Technical note.
        Arthroscopy. 2000; 16: E2010
        • Rowden N.J.
        • Sher D.
        • Rogers G.J.
        • Schindhelm K.
        Anterior cruciate ligament graft fixation.
        Am J Sports Med. 1997; 25: 472-478
        • Magen H.E.
        • Howell S.M.
        • Hull M.L.
        Structural properties of six tibial fixation methods for anterior cruciate ligament soft tissue grafts.
        Am J Sports Med. 1999; 27: 35-43
        • Nagarkatti D.G.
        • Mckeon B.P.
        • Donahue B.S.
        • Fulkerson J.P.
        Mechanical evaluation of a soft tissue interference screw in free tendon anterior cruciate ligament graft fixation.
        Am J Sports Med. 2001; 29: 67-71
        • Weiler A.
        • Richter M.
        • Schmidmair G
        • et al.
        The EndoPearl device increases fixation strength and eliminates construct slippage of hamstring tendon grafts with interference screw fixation.
        Arthroscopy. 2001; 17: 353-359