Soft tissue fixation to bone: A review of experimental and clinical experience with a new stitch

Soft tissue fixation techniques have met with limited success for a number of reasons, including inadequate mechanical strengths and inhibition of healing or construction of tissues. A new locking, ligament-tendon suturing technique has been shown experimentally and clinically to overcome many of the adversities frequently associated with inadequate fixation. Augmentation of a single locking ligament stitch was achieved with a second stitch, a barbd staple, or both, which further enhances the mechanical strength of the suture fixation without demonstrating any adverse biologic effect to the tissue. Our experience demonstrates that this stitch is appropriate to use for soft tissue fixation of ligamentous, tendinous, or capsular tissues associated with knee reconstruction procedures.