Anterior cruciate ligament reconstruction using bone–patellar tendon–bone autograft with suture tape augmentation

Daniel M. Benson, Graeme P. Hopper, William T. Wilson, Gordon M. Mackay

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The anterior cruciate ligament (ACL) is the most commonly injured ligament in the knee, with injury usually occurring as a result of multidirectional sports. The incidence of ACL injury has continued to increase, with most patients opting for surgery to improve stability as well as permit a return to sport. Traditional methods of ACL reconstruction can achieve this but are not without their problems, including graft rupture, residual laxity, and donor-site morbidity. There is therefore a requirement for further research into newer, innovative surgical techniques to help improve complication rates. This article describes, with video illustration, ACL reconstruction using a reduced-size bone–patellar tendon–bone autograft with suture tape augmentation. The augmentation acts as a stabilizer during the early stages of graft incorporation while resisting against reinjury during an accelerated recovery. The ability to use a reduced-size graft decreases the donor-site burden, and retention of residual native ACL tissue, when possible, may help with proprioception.

Original languageEnglish
Number of pages7
JournalArthroscopy Techniques
Publication statusPublished - 5 Jan 2021


  • anterior cruciate ligament injury
  • ACL
  • reconstruction
  • bone-patellar tendon-bone autograft
  • suture tape augmentation
  • graft incorporation

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