ArticleArthroscopy techniques2025
A Technique for Augmenting Bone Graft in the Tibial Tunnel During Anterior Cruciate Ligament Reconstruction Using Single-Tendon Hamstring Autograft.
Article in Arthroscopy techniques, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Chronic ACL Injury Drives a Fibrotic and Matrix-Degradative Shift: A Multi-Level Analysis of MMP-13 and TGF-β1.Medicina (Kaunas, Lithuania) · 2026Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This article presents a technique to enhance graft-tunnel integration in anterior cruciate ligament reconstruction using a single-tendon hamstring autograft. The method involves injecting a calcium sulfate-calcium phosphate composite (Pro-Dense Injectable Regenerative Graft; Stryker) into the residual space between the distal graft and the tibial cortex. After preparation of a quadrupled semitendinosus graft with cortical suspension devices at both ends and a tibial fixation button, anatomically positioned femoral and tibial tunnels are created, and the graft is passed and fixed. The injectable graft material is delivered under controlled conditions to fill the tibial-tunnel void and support biological healing. Early application of this technique has shown ease of use, adequate tunnel filling, and no extravasation, with postoperative imaging confirming proper positioning. This approach addresses a critical biological limitation in anterior cruciate ligament reconstruction by enhancing tibial-tunnel integration. Although early results are promising, further studies are needed to evaluate long-term outcomes, including tunnel widening, graft incorporation, and functional performance.
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Registered trials
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