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J Knee Surg 2018; 31(01): 075-077
DOI: 10.1055/s-0037-1600090
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA

A Simple Technique to Prevent Early or Late EndoButton Deployment in Anterior Cruciate Ligament Reconstructions: A Technical Note

Fabricio Fogagnolo
1   Department of Biomechanics, Medicine and Rehabilitation of the Locomotor Apparatus, Hospital das Clínicas of Ribeirão Preto School of Medicine, University of São Paulo, São Paulo, Brazil
,
Rodrigo Salim
1   Department of Biomechanics, Medicine and Rehabilitation of the Locomotor Apparatus, Hospital das Clínicas of Ribeirão Preto School of Medicine, University of São Paulo, São Paulo, Brazil
,
Mauricio Kfuri
1   Department of Biomechanics, Medicine and Rehabilitation of the Locomotor Apparatus, Hospital das Clínicas of Ribeirão Preto School of Medicine, University of São Paulo, São Paulo, Brazil
2   Department of Orthopedics, University of Missouri, Columbia, Missouri
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Further Information

Publication History

28 December 2016

06 February 2017

Publication Date:
29 March 2017 (online)

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Erratum: A Simple Technique to Prevent Early or Late EndoButton Deployment in Anterior Cruciate Ligament Reconstructions: A Technical Note J Knee Surg 2018; 31(01): e1-e1
DOI: 10.1055/s-0037-1606195

Abstract

The use of suspensory graft fixation methods in arthroscopic reconstruction of the anterior cruciate ligament has become increasingly popular with the more frequent use of tendon grafts and anatomical techniques involving the creation of bone tunnels. An important technical step to ensure adequate fixation of the graft when using EndoButton-type implants, particularly in the femur, involves flipping the EndoButton plate at the correct length to avoid performing this maneuver before the appropriate time or leaving soft tissue between the plate and lateral cortex of the femur. In the present study, we describe a simple arthroscopic technique for indicating the correct time to flip/deploy the EndoButton plate.

Keywords

EndoButton - ACL reconstruction - femoral tunnel - graft
 

  • References

  • 1 Malek MM, Kunkle KL, Knable KR. Intraoperative complications of arthroscopically assisted ACL reconstruction using patellar tendon autograft. Pritchard DJ. Instructional Course Lectures. Rosemont, IL: AAOS; 1996: 297
    Search in Google Scholar
  • 2 Conner CS, Perez BA, Morris RP, Buckner JW, Buford Jr WL, Ivey FM. Three femoral fixation devices for anterior cruciate ligament reconstruction: comparison of fixation on the lateral cortex versus the anterior cortex. Arthroscopy 2010; 26 (06) 796-807
    CrossrefPubMedSearch in Google Scholar
  • 3 Kamelger FS, Onder U, Schmoelz W, Tecklenburg K, Arora R, Fink C. Suspensory fixation of grafts in anterior cruciate ligament reconstruction: a biomechanical comparison of 3 implants. Arthroscopy 2009; 25 (07) 767-776
    CrossrefPubMedSearch in Google Scholar
  • 4 Barrett GR, Papendick L, Miller C. EndoButton button endoscopic fixation technique in anterior cruciate ligament reconstruction. Arthroscopy 1995; 11 (03) 340-343
    CrossrefPubMedSearch in Google Scholar
  • 5 Rosenberg TD, Graf B. Techniques for ACL Reconstruction with Multi-Trac Drill Guide. Andover, MA: Smith & Nephew Endoscopy; 1996
    Search in Google Scholar
  • 6 Muneta T, Yagishita K, Kurihara Y, Sekiya I. Intra-articular detachment of the EndoButton more than 18 months after anterior cruciate ligament reconstruction. Arthroscopy 1999; 15 (07) 775-778
    CrossrefPubMedSearch in Google Scholar
  • 7 Karaoglu S, Halici M, Baktir A. An unidentified pitfall of EndoButton use: case report. Knee Surg Sports Traumatol Arthrosc 2002; 10 (04) 247-249
    CrossrefPubMedSearch in Google Scholar
  • 8 Simonian PT, Behr CT, Stechschulte Jr DJ, Wickiewicz TL, Warren RF. Potential pitfall of the EndoButton. Arthroscopy 1998; 14 (01) 66-69
    CrossrefPubMedSearch in Google Scholar