Surgical Technique
Suture-Tape Augmented ACL Reconstruction: Early Loading Protocol
A technique note on internal-brace augmentation paired with an accelerated but criteria-based loading protocol in recreational athletes.
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Specialty
Knee
Location
Bengaluru, Karnataka
Published
19 Sept 2025
Research type
Case Series
Abstract
Demo abstract. Augmentation was used to permit earlier loading without abandoning objective discharge criteria. Forty consecutive reconstructions were followed with force-plate testing.
Description
The technique note documents graft preparation, tape tensioning sequence and the fixation order that avoids over-constraining the graft.
Rehabilitation progression remained criteria-based; augmentation shifted the timeline only when strength targets were met early.
Innovation / discovery
Tensioning the tape at full extension with the graft tensioned at 20 degrees avoided the over-constraint seen in earlier attempts.
Surgical / procedural method
Hamstring autograft with suture-tape augmentation, adjustable-loop femoral fixation, interference screw tibial fixation. Force-plate testing at 6 and 9 months.
Research findings
- Limb symmetry index thresholds were met earlier in the demo series.
- No graft rupture within the reported follow-up window.
- Two patients had transient anterior knee pain that settled by six months.
Attached documents
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Technique note
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Intra-operative video
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