Reinforcement of Tibial Fixation in Anterior Cruciate Ligament Reconstruction Using a Polyester Multi Stranded Long Chain Polyethylene Core Suture Material

The best tibial fixation technique in anterior cruciate ligament reconstruction remains a challenge to be solved. Due to the increased tension on the graft and the poor bone quality, the slippage of the graft is a determining factor of failure. We propose an alternative supplementary, cost-effective and reliable solution to improve the outcome of the grafts fixation. The results obtained on 10 freshly frozen porcine tibiae were significantly improved (p=0.012) compared to the standard method of fixation. The maximal and mean pull-out force was in conformity with the literature. The bones and tendons used simulates the real human ones, thus the results encourage us to extend the application of the method in clinical cases.