Confession Session: Intraosseous Adjustable Suspensory Fixation Deployment

Description

The speaker, Ryan Martin, discusses his preferences and techniques for double bundle ACL reconstruction, contrasting his approach with others' methodologies. He emphasizes his use of triple suspensory fixation to manage different tensions in the graft at specific angles, helping to maintain stability during the procedure. He shares experiences regarding potential challenges, particularly the necessity of counter-force when tensioning grafts, which can lead to complications like graft flipping in the interosseous space. Martin has developed a solution by using a looped PDS suture to provide added security and ensure the graft buttons remain flush against the bone during tensioning. He also references a video demonstrating his technique of pulling back while tensioning the graft within the tunnel.

DOI: 10.1302/3114-240548

Specialties