ENDOBUTTON SURGICAL TECHNIQUE PDF

The surgical technique of Endobutton (Acufex Microsurgical, Inc,. Mansfield, MA) button fixation for anterior cruciate ligament reconstruction is described. TECHNIQUE FOR ACL RECONSTRUCTION USING THE. ACUFEX DIRECTOR DRILL GUIDE AND ENDOBUTTON CL. 데 . A doubled surgeon’s knot is used. The surgical technique of Endobutton (Acufex Microsurgical, Inc, Mansfield, MA) button fixation for anterior cruciate ligament reconstruction is described.

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The previous studies showed a positive correlation between a malpositioned EndoButton and a higher rate of button migration. Migration of EndoButton after anatomic double-bundle anterior cruciate ligament reconstruction. Our minimally invasive procedure can facilitate a quicker recovery.

Injury to arteries, such as the lateral superior genicular artery, is possible. If soft tissue is interposed between the EndoButton and lateral suurgical of the femoral suegical, a radiofrequency RF probe Vulcan is inserted through another LF portal to remove the soft tissue.

After passage of the anterior cruciate ligament ACL graft through the tibial tunnel, the position of the EndoButton is confirmed by fluoroscopy after the EndoButton is felt to be flipped in a right knee. There is a paucity of available literature regarding how to best remove interposed soft tissue and reduce the position of the EndoButton.

Surgical Technique The described ACL reconstruction technique was arthroscopically performed by the senior surgeon.

Endobutton button endoscopic fixation technique in anterior cruciate ligament reconstruction.

Discussion This Technical Note presents an arthroscopic technique that successfully removes interposed soft tissue between the EndoButton and the lateral aspect of the femoral cortex and reduces EndoButton migration from the lateral aspect of the femoral cortex of the knee.

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Endobuttkn the migration of the EndoButton to the lateral cortex of the knee through the LF portal.

The effect of cortical button location on its post-operative migration in anatomical double-bundle anterior cruciate ligament reconstruction. The arrow shows the EndoButtons of the anteromedial and posterolateral graft.

Three femoral fixation devices for anterior cruciate ligament reconstruction: E The position of the EndoButton arrow is fixed to the lateral aspect of the femoral cortex. A Vulcan probe can also be inserted through the same portal to help manipulate and fit the EndoButton into the proper position at the lateral cortex of the femur by pulling the graft on the tibial side Fig 2 D and E.

Do adjustable loops lengthen? Yasuo OhnishiM. There appears to be a short recovery time, which is especially beneficial for athletes who must quickly recover back to their preinjury activity level. Physical therapy, consisting of exercise without resistance, to improve range of motion is initiated immediately after surgery.

An arthroscope is inserted into the LF portal to evaluate for EndoButton migration from the lateral aspect of the femoral cortex Fig 2 A and B. In addition, there is a small possibility of injury sufgical the lateral superior genicular artery.

Second-generation, no-incision anterior cruciate ligament reconstruction. A disadvantage of using our arthroscopic technique is the potential risk of compartment syndrome after excessive introduction of fluid in the LF portal. There is a risk of damage to the EndoButton loop surgica using the Vulcan.

Endobutton button endoscopic fixation technique in anterior cruciate ligament reconstruction.

Weight-bearing exercise as tolerated with crutches is also initiated immediately. We describe an arthroscopic technique for making femoral tunnels through the outside-in method that reduces techniuqe migration of the EndoButton through a lateral femoral portal. They determined that migration of the EndoButton was more common with the presence of soft-tissue interposition and clinical outcomes were unaffected by migration and soft-tissue interposition.

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The described ACL reconstruction technique was arthroscopically performed by the senior surgeon. Suture button—based femoral cortical suspension constructs of anterior cruciate ligament grafts can facilitate a fast and secure fixation.

An ipsilateral semitendinosus and gracilis autograft is used in every case. Endobuttob of femoral fixation before graft integration might cause loosening of the reconstructed ACL and failure of the ACL reconstruction. Supplementary Data Video 1: Right Rt knee with endoscopic visualization from lateral femoral LF portal. Several techniques have been proposed to ensure accurate placement of the EndoButton and lessen the probability of malpositioning.

Intra-articular detachment of the Endobutton more than 18 months after anterior cruciate ligament reconstruction. This Technical Note describes an arthroscopic technique to prevent migration of the EndoButton using a femoral guide pin incision on the lateral aspect of the femur as an endoscopic portal.

Suture button—based femoral cortical suspension fixation of anterior cruciate ligament ACL grafts can facilitate a fast and secure graft fixation for ACL reconstruction.

Care is taken to ensure twchnique the femoral and tibial tunnels are created anatomically in every patient. Footnotes The authors report the following potential conflict of interest or source of funding: