Jack Farr, MD (Indianapolis, IN) discusses the rationale, technical pearls and patient outcomes of BTB TightRope for patella tendon ACL reconstruction. The BTB TightRope offers the same adjustable, four-point locking system as the ACL TightRope RT but allows placement through a small drill hole in the bone block. The TightRope button facilitates dependable, cortical fixation and the adjustable loop allows the graft to be pulled into the femoral socket as deep as needed for ideal graft tunnel-matching. The BTB TightRope also allows fixation of BTB grafts into anatomic femoral sockets that can be difficult to reach with traditional interference screws.
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