ACL Reconstruction
Information for
Orthopaedic Surgeons

• Home 
• Graft Choice
• Hamstring Harvest
• Fixation Methods
  • Choosing an EndoButton™
  • Whipstitch Post Video
  • EndoButton™ Video
• Reconstruction Techniques
• Rehabilitation
• ACLR Publications

_______________________________

References:

1. Prodromos CC, Hecker A, Joyce B, et al. (2009) Elongation of simulated whipstitch post anterior cruciate ligament reconstruction tibial fixation after cyclic loading. Knee Surg Sports Traumatol Arthrosc 17(8): 914-19. Abstract

Other ACL Papers Published by Dr Prodromos

 

Choosing EndoButtons™ for a Two Tunnel Graft

Graft Configuration

When using two femoral tunnels, there are several graft configurations that can be used depending on the length of the harvested graft.

If the harvested semitendinosus tendon (ST) is >29cm than use a 4ST graft. Use 2 ST in the AM tunnel and 2ST in the PL tunnel.

If the semitendinosus tendon is <30cm, then harvest the gracilis (Gr) tendon as well. Use a 3ST2Gr graft with 2ST in the AM tunnel and 1ST2Gr in the PL tunnel.

AM Tunnel Fixation

Always use an EndoButton™ CL. An ExtendoButton can be used if necessary.

PL Tunnel Fixation

When using a 1ST2Gr graft in the PL tunnel, use EndoButton™ Direct.

When using a 2ST graft in the PL tunnel, use an EndoButton™ CL with ExtendoButton™

Note - When using a 2ST graft, if the length of the lateral femoral chondyle tunnel is less than 25mm, then consider using an EndoButton™ Direct instead.

 

For full copies of Dr. Prodromos' articles or DVDs, please contact us at 847-699-6810 x207 or