Position ACL Anterior Cruciate Ligament

The operative procedure allows you the freedom to choose the type of transplant, whilst the Position instrumentation allows reconstruction to be done transtibially without femoral incision. The Position Suture Board supports easy and simple transplant preparation.

The freedom of choice between transplant types together with the special Position titanium implants Suture Plate (femoral) and Suture Disk (tibial) bring forth an essential advancement compared to fixation devices like intra- or extraarticular screws or staples.

Important achievements has lead to better results in the field of ACL reconstruction since the introduction of arthroscopic operative techniques and early physiotherapy to achieve immediate full extension. For a long time the use of the patella tendon was recognized as being the "gold standard" in cruciate ligament reconstruction.

By introducing the quadruple technique regarding the semitendinosus tendon together with the new femoral anchoring method, without lateral incision, a higher tension strength has been achieved than has been possible in the past with the patella tendon. As an aid to sellecting the correct transplant, a list of the advantages and disadvantages for the two tendons has been drawn up.

Advantages Patella Tendon

• Variability of the transplant width
• Easier to obtain graft
• Stable primary fixation
• Preserves active internal rotation
• Ligamentisation slow but proven
• Weakens the antagonists
• Good long-term results published

Advantages Semitendinosus Tendon

• Smaller skin incision in non movement area
• No disturbance to the extensors
• No problems associated with kneeling
• Good blood supply to the four tendon strips
• Modulus of elasticity similar to the anterior cruciate ligament
• Desired reconstruction of the antero-medial and postero-lateral bundels possible