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Richard Wolf GmbH
Pforzheimer Straße 32
75438 Knittlingen
Tel: 0 70 43 35-0
Fax: 0 70 43 35-300
e-Mail: info@richard-wolf.com

ACL Reconstruction

Bone-Tendon-Bone

Reconstruction of the ACL using the pressfit technique has recently become of increasing interest. Fixation using endo buttons the most common method. The disadvantages of this away from the point of insertion are:
• enlargement of the tunnel
• creep at the tendon-tape transition along with giving tendon construct and permanent elongation. This is also known as the Bungee effect.

Bone-Tendon with quadriceps

Fixation close to the insertion has been suggested and methods have already been used successfully:

1. Fixation using an interference screw
2. Suspension of loops using transverse rods


Disadvantages of these techniques are:
• hardware costs
• problems with revision surgery
• awkward and time-consuming

Harmstring tendons

Alternative solution the Pressfit technique has been developed with the following major features:


• Fixation close to the point of insertion
• Avoidance of hardware
• Simple graft preparation

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