Sakai Akinori
   Department   Wakamatsu Hospital of the University of Occupational and Environmental Health  Hospital President, Wakamatsu Hospital
   School of Medicine  Orthopedic Surgery, Clinical Medical Sciences
   Position  
Article types journal article
Language English
Peer review Peer reviewed
Title Arthroscopic Technique to Reduce Suture Button Migration During Anterior Cruciate Ligament Reconstruction Procedure.
Journal Formal name:Arthroscopy techniques
Abbreviation:Arthrosc Tech
ISSN code:22126287/22126287
Volume, Issue, Page 6(5),e1927-e1931頁
Author and coauthor Ohnishi Yasuo, Chang Angela, Utsunomiya Hajime, Suzuki Hitoshi, Nakamura Eiichiro, Sakai Akinori, Uchida Soshi
Publication date 2017/10
Summary Suture button-based femoral cortical suspension constructs of anterior cruciate ligament grafts can facilitate a fast and secure fixation. However, there are several case reports showing button malpositioning resulting from the inability to visualize the "flipped" button. Many current surgical techniques do not allow direct visualization of EndoButtons (Smith & Nephew, Andover, MA) in their final position, making it difficult to ensure that both buttons are fully flipped and that there is no soft-tissue interposition between the button and femur. We describe an arthroscopic technique for making femoral tunnels through the outside-in method that reduces the migration of the EndoButton through a lateral femoral portal. This technique may assist surgeons in understanding how to deal with and potentially avoid EndoButton migration during anterior cruciate ligament reconstruction.
DOI 10.1016/j.eats.2017.07.016
PMID 29416980