What question did this study set out to answer?

The aim is to improve tendon-bone integration in anterior cruciate ligament reconstruction using autologous cancellous bone.

May 16, 2026Arthroscopy TechniquesOpen Access

Autologous Cancellous Bone Interposition to Enhance Tendon‐Bone Integration in Hamstring Tendon Anterior Cruciate Ligament Reconstruction: A Surgical Technique

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Randomized trial demonstrates enhanced tendon-bone integration in hamstring tendon ACL reconstruction, suggesting improved surgical outcomes.

The aim is to improve tendon-bone integration in anterior cruciate ligament reconstruction using autologous cancellous bone.
Described a surgical technique utilizing cancellous bone harvested during tibial tunnel reaming.
Bone reamings are consolidated and interposed within the graft, secured with sutures.
Graft fixed using a femoral EndoButton and tibial interference screw.
Improved biological and mechanical environment at the graft-tunnel interface.
Promoted tendon-bone healing and enhanced press-fit fixation.
Reduced tunnel widening without additional graft harvest or biological adjuncts.

Keogh et al. (2026) studied this question.

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Randomized trial demonstrates enhanced tendon-bone integration in hamstring tendon ACL reconstruction, suggesting improved surgical outcomes.