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Femoral and Tibial Fixation with Cross-Pin System in Anterior Cruciate Ligament Reconstruction by Using Semitendinosus and Gracilis

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Advanced Application of Arthroscopy
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Abstract

Good clinical outcomes have been achieved by using RigidFix cross-pin system (Depuy Mitek, Raynham, MA, USA) in the femoral fixation of hamstring tendons in ACL reconstruction [1–5]. We have applied the femoral RigidFix cross-pin system in the femoral and tibial fixation with semitendinosus and gracilis graft since 2006 [6]. Based on the biomechanical tests and clinical observations, the feasibility and reliability of this method have been proved. The fixation points are close to the original attachment of the ACL which could avoid the longitudinal and lateral oscillation of the tendon graft. Applying the cross-pin system in the tibia fixation could avoid cutting the graft which is caused by the interference screw fixation. The graft is in full contact with the tunnel which could be beneficial to the bone-tendon healing. The RigidFix cross-pin system both on femur and tibia is a safe and efficient fixation method for the ACL reconstruction [1, 2, 7–10].

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Liu, Yj., Qi, W. (2020). Femoral and Tibial Fixation with Cross-Pin System in Anterior Cruciate Ligament Reconstruction by Using Semitendinosus and Gracilis. In: Liu, Yj., Xue, J., Huang, Cm., Li, Cb. (eds) Advanced Application of Arthroscopy. Springer, Singapore. https://doi.org/10.1007/978-981-15-4684-6_22

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  • DOI: https://doi.org/10.1007/978-981-15-4684-6_22

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