What question did this study set out to answer?

Evaluate the effectiveness of intraoperative manual resistance and visualization for ACL reconstruction techniques.

April 17, 2026

Intraoperative Manual Resistance and Direct Intra-articular Visualization Maneuvers for Anterior Cruciate Ligament Reconstruction: A Retrospective Cohort Study

Puntos clave

Evaluate the effectiveness of intraoperative manual resistance and visualization for ACL reconstruction techniques.
Retrospective cohort design examining ACL reconstruction cases.
Evaluation of manual resistance and visualization maneuvers during surgery.
Analysis of deployment rates of suspensory button devices.
Low rates of improper deployment of devices observed.
Minimal malpositioning reported with the techniques used.
Reduction in need for fluoroscopic imaging during procedures.

Resumen

Intraoperative manual resistance and direct intra-articular visualization maneuvers were an effective method for properly deploying suspensory button devices during ACLR. The low rates of improper deployment and malpositioning with these maneuvers do not warrant the use of intraoperative fluoroscopic imaging, resulting in safer, faster, and more cost-effective surgical procedures for patients.

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Discussion

Cite this study

Cantrell et al. (Tue,) studied this question.

synapsesocial.com/papers/69e1cf375cdc762e9d8581cc — DOI: https://doi.org/10.1177/03635465261431311

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Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

Anterior Cruciate Ligament Reconstruction Using Femoral Cortical Button Fixation: A Case Series of Intraoperative Malpositioning· 2023 · 3 citations
Confirmation of Femoral Button Deployment Under Direct Visualization During ACL Reconstruction Is Not Beneficial· 2020 · 2 citations
Confirming Proper Button Deployment of Suspensory Fixation During ACL Reconstruction· 2021 · 12 citations
Randomized Controlled Trial Comparing All‐Inside Anterior Cruciate Ligament Reconstruction Technique With Anterior Cruciate Ligament Reconstruction With a Full Tibial Tunnel· 2013 · 134 citations
Migration of EndoButton After Anatomic Double‐Bundle Anterior Cruciate Ligament Reconstruction· 2011 · 62 citations

Authors

W. Alexander Cantrell

Cleveland Clinic

Martina E. Hale

Cleveland Clinic Lerner College of Medicine

Gabrielle Scariano

Journals

The American Journal of Sports Medicine

Actions

Institutions

Cleveland Clinic

Cleveland Clinic Lerner College of Medicine

References and Citations

Connected Papers

Building similarity graph...

Analyzing shared references across papers

Intraoperative Manual Resistance and Direct Intra-articular Visualization Maneuvers for Anterior Cruciate Ligament Reconstruction: A Retrospective Cohort Study

Puntos clave

Resumen

Citation Network

Connected Papers

Discussion

Cite this study

Also consider

Authors

Journals

Actions

Institutions

References and Citations

Citation Network

Connected Papers

Discussion

Also consider