Evidence map›Paper›PMID 41541360›Full record

ArticleArthroscopy techniques2025

Modified Universiti Kebangsaan Malaysia Internal Bracing Graft Preparation Technique Using Allograft for Anterior Cruciate Ligament Reconstruction Surgery.

Badrul Akmal Hisham Md Yusoff, Mohamed Razzan Rameez, Muhammad Karbela Reza Ramlan, Aliff Omar, Mohamad Azwan Aziz

Abstract read
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Article in Arthroscopy techniques, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Badrul Akmal Hisham Md YusoffDepartment of Orthopedic and Traumatology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Mohamed Razzan RameezDepartment of Orthopedic and Traumatology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Muhammad Karbela Reza RamlanDepartment of Orthopedic and Traumatology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Aliff OmarDepartment of Orthopedic and Traumatology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Mohamad Azwan AzizDepartment of Orthopedic and Traumatology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anterior cruciate ligament reconstruction using allografts is limited by delayed biologic incorporation and graft elongation, increasing failure risks during early rehabilitation. To address this, we describe the modified Universiti Kebangsaan Malaysia internal bracing technique, which integrates ultra-high-molecular-weight polyethylene suture tape within the graft construct. This technique aims to provide immediate biomechanical reinforcement, reduce tunnel widening, and accelerate recovery, particularly critical for allografts, which lack the initial strength of autografts. The tendons are then quadrupled over tri-fold loops of FiberTape (Arthrex), which is centrally positioned and secured with FiberWire (Arthrex). The construct is whipstitched with 2.0 Ethibond (Ethicon)-while suture contact with the FiberTape is carefully avoided-and preloaded with an ACL TightRope II Implant (Arthrex) and TightRope Attachable Button System (Arthrex) for femoral and tibial fixation, respectively. Additional GraftLink loop graft construct (Arthrex) stitches are placed at both ends to enhance graft-tunnel integration. This technique uniquely embeds the FiberTape internally within the graft structure to provide biomechanical reinforcement while preventing tunnel abrasion and stress-shielding effects.

Identifiers

PMID41541360
PMCPMC12801063

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