ABSTRACT
Successful treatment of the anterior cruciate ligament tear in the young, active population
can be reliably achieved with an arthroscopic bone-patellar tendon-bone (BTB) autograft
reconstruction. Although some contraindications exist, the BTB autograft has been
proven to provide for a durable, stable, and highly functional knee. Complications
associated with the use of BTB can occur, but measures can be taken to minimize these
risks. In addition to appropriate graft selection, meticulous surgical technique is
required. This article outlines the step-by-step surgical technique including graft
harvest, tunnel placement, graft preparation and passage, and interference screw fixation.
Potential complications and the surgical decision-making options incurred are also
discussed in detail.
KEYWORDS
Anterior cruciate ligament - bone-patellar tendon-bone - reconstruction - autograft
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CDR Matthew T ProvencherM.D.
Naval Medical Center San Diego – Division of Sports Surgery
34800 Bob Wilson Drive Ste 112, San Diego, CA 92134-1112
Email: matthew.provencher@med.navy.mil
