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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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Journal List Arthrosc Tech v. The previous studies showed a positive correlation between a malpositioned EndoButton and a higher rate of button migration. Eendobutton and functional outcomes after anterior cruciate ligament reconstruction using cortical button fixation versus transfemoral suspensory fixation: Weight-bearing exercise as tolerated with crutches is also initiated immediately. Weakening of femoral fixation before graft integration might cause loosening of the reconstructed ACL and failure of the ACL reconstruction.

Articles from Arthroscopy Techniques are provided here courtesy of Elsevier.

Endobutton button endoscopic fixation technique in anterior cruciate ligament reconstruction.

Intra-articular detachment of the Endobutton more than 18 months after anterior cruciate ligament reconstruction. Received Mar 31; Accepted Jul Our arthroscopic reduction technique allows the surgeon to assess for malpositioning and migration of the EndoButton directly through the LF portal and remove any soft tissue interposed between the EndoButton and the lateral cortex of the femur.

C The Vulcan probe arrowheadintroduced through the second LF portal, can remove the interposed soft tissue endoutton the EndoButton arrow.

Migration of EndoButton after anatomic double-bundle anterior cruciate ligament reconstruction. National Center for Biotechnology InformationU.

ENDOBUTTON CL ULTRA | Smith & Nephew – US Professional

Second-generation, no-incision techniquee cruciate ligament reconstruction. There is also a risk of damage to the EndoButton loop by using the Vulcan. Postoperative Rehabilitation A standardized postoperative protocol is implemented for each patient. Reduce the migrated EndoButton to the proper position, and fit the EndoButton to the lateral cortex of the knee by pulling the graft on the tibial side.

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The advantages of this arthroscopic technique include small incisions and direct visualization that can help remove any soft-tissue interposition and reduce a migrated EndoButton. Excessive introduction of fluid may increase the risk of compartment syndrome. 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.

Caution is need when removing the soft tissue over the lateral aspect of the femoral cortex. Open in a separate window. Do adjustable loops lengthen? Seating of TightRope RT button under direct arthroscopic visualization in anterior cruciate ligament reconstruction to prevent potential complications. A standardized postoperative protocol is implemented for each patient. Switch the shaver to a Vulcan probe to remove any interposed soft tissue beneath the EndoButton.

However, this technique requires a longer intraoperative time and a relatively higher level of surgical skills that may limit its use to more experienced surgeons.

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. We believe this arthroscopic reduction technique could be beneficial in the case of a migrated EndoButton during ACL reconstruction of the knee; however, studies on long-term clinical outcomes with a larger cohort will be necessary to determine its efficacy.

Find articles by Hajime Utsunomiya. 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. This technique may assist surgeons in understanding how to deal with and potentially avoid EndoButton migration during anterior cruciate ligament reconstruction.

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Endobutton button endoscopic fixation technique in anterior cruciate ligament reconstruction.

The described ACL reconstruction technique was arthroscopically performed by the senior surgeon. In the case in which the EndoButton migrates from the lateral aspect of the enobutton cortex Fig 1 Aa lateral femoral LF portal is created through the femoral guide pin incision on the lateral aspect of the femur.

B The arthroscope is inserted through an LF portal, and a Vulcan probe arrowhead emdobutton inserted through another LF portal. Pediatric anterior cruciate ligament femoral fixation: Iliotibial band irritation caused by the EndoButton after anatomic double-bundle anterior cruciate ligament reconstruction: Support Center Support Endobuttpn. Injury to arteries, such as the lateral superior genicular artery, is possible. There is a paucity of available literature regarding how to best remove interposed soft tissue and reduce the position of the EndoButton.

The arrow indicates the EndoButtons of the anteromedial and posterolateral graft.

The effect of cortical button location on its post-operative migration in anatomical double-bundle anterior cruciate ligament reconstruction. Report of two cases. Right Rt knee with techmique visualization from lateral femoral LF portal.

Published etchnique Oct 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.