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How to inlay guide in ACL

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What is the new method for ACL?

Bridge-enhanced ACL repair (BEAR) is a new FDA-approved procedure that allows a torn ACL to heal itself and does not require graft tissue to be taken from another part of the body. Duke Health is one of the few centers in the U.S. to offer the BEAR procedure.

How are ACL grafts attached?

The graft is threaded across the knee, leaving a piece of bone in each of the tunnels and the patellar tendon in the position of the original ACL, thus reconstructing the ligament. The graft is then secured in this position, most commonly by wedging a screw between the side of the bone and the tunnel.

What is the PCL inlay technique?

The PCL tibial inlay technique allows direct approach to the tibial insertion of the PCL [8,9,10]. Both methods seem to produce equivalent results [1, 2, 11]. Since 2002, we have used the PCL inlay open technique, positioning the patient prone to undertake a posteromedial expose the tibial insertion of the PCL (Fig.

What is the latest ACL surgery technique?

During the BEAR procedure, stitches are placed in the torn ends of the ACL. Then the sponge-like BEAR implant is injected with the patients own blood and placed in the gap. Additional stitching holds the device in place.

What are the different types of ACL reconstruction techniques?

There are four commonly used grafts for ACL reconstruction. Patellar tendon autograft. The surgeon removes the middle third of your patellar tendon and pieces of bone (bone plugs) from your shin and kneecap. Hamstring tendon autograft. Quadriceps tendon autograft. Allograft.

What is a common surgery technique to fix a torn ACL?

A torn ACL usually is treated with a procedure called an ACL reconstruction. Surgeons replace the damaged ligament with new ACL graft tissue either taken from the patients own body (tissue from the main patellar tendon or the hamstring) or donated from someone else (called an allograft).

What are the techniques for ACL graft fixation?

Common techniques for ACLR graft fixation include intratunnel fixation with interference screws, suspensory fixation, or hybrid fixation strategies, along with several supplemental fixation techniques.

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