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BMC Research Notes

, 4:244

First Online: 20 July 2011Received: 30 November 2010Accepted: 20 July 2011DOI: 10.1186-1756-0500-4-244

Cite this article as: O-Neill, B.J., Byrne, F.J., Hirpara, K.M. et al. BMC Res Notes 2011 4: 244. doi:10.1186-1756-0500-4-244

Abstract

BackgroundTensioning of anterior cruciate ligament ACL reconstruction grafts affects the clinical outcome of the procedure. As yet, no consensus has been reached regarding the optimum initial tension in an ACL graft. Most surgeons rely on the maximal sustained one-handed pull technique for graft tension. We aim to determine if this technique is reproducible from patient to patient.

FindingsWe created a device to simulate ACL reconstruction surgery using Ilizarov components and porcine flexor tendons. Six experienced ACL reconstruction surgeons volunteered to tension porcine grafts using the device to see if they could produce a consistent tension. None of the surgeons involved were able to accurately reproduce graft tension over a series of repeat trials.

ConclusionsWe conclude that the maximal sustained one-handed pull technique of ACL graft tensioning is not reproducible from trial to trial. We also conclude that the initial tension placed on an ACL graft varies from surgeon to surgeon.

Electronic supplementary materialThe online version of this article doi:10.1186-1756-0500-4-244 contains supplementary material, which is available to authorized users.

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Author: Barry J O-Neill - Fergus J Byrne - Kieran M Hirpara - William F Brennan - Peter E McHugh - William Curtin

Source: https://link.springer.com/







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