Reconstrução do ligamento cruzado anterior com técnica all-inside utilizando sistema Tape Locking Screw - TLS

Authors

  • Luiz Felippe dos Santos Martins Filho Hospital Federal de Ipanema
  • Glaucus Cajaty dos Santos Martins Hospital Federal de Ipanema
  • Lindolfo Henriques Vasconcelos Filho Hospital Federal de Ipanema
  • Andre Heringer Raposo Hospital Federal de Ipanema
  • Raphael Barbosa Gamallo Hospital Federal de Ipanema

Keywords:

Anterior cruciate ligament, Autograft, TLS

Abstract

The Tape Locking Screw (TLS) system is based on tensioned and prepared short semitendinosus tendon from 50 to 60 mm, with 8 to 10 mm in diameter and a preload of 500 N. The tunnels are 10-15 mm shorter than usual and created retrograde to match the diameter of each end of the graft. The pressure adjustment in the bone recess is obtained by a specific graft introduction method, femoral, and the tibial fixation is provided by polyethylene terephthalate tape strips, or TLS strips, which. Passes through each end of the closed tendon loop and attached to the bone with an interference screw.

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Author Biographies

Luiz Felippe dos Santos Martins Filho, Hospital Federal de Ipanema

Chefe do Serviço de Ortopedia e Traumatologia, Hospital Federal de Ipanema, Rio de Janeiro, RJ, Brasil

Glaucus Cajaty dos Santos Martins, Hospital Federal de Ipanema

Preceptor e Chefe da Equipe de Joelho, Serviço de Ortopedia e Traumatologia, Hospital Federal de Ipanema, Rio de Janeiro, RJ, Brasil

Andre Heringer Raposo, Hospital Federal de Ipanema

R3 do Serviço de Ortopedia e Traumatologia, Hospital Federal de Ipanema, Rio de Janeiro, RJ, Brasil

References

Insall & Scott - Cirurgia do Joelho. 5 ed. Elsevier Brasil; 2014. p. 371-84.

Samitier G, Marcano AI, Alentorn-Geli E, Cugat R, Farmer KW, Moser MW. Failure of Anterior Cruciate Ligament Reconstruction. Arch Bone Jt Surg. 2015;3(4):220-40.

Collete M, Cassard X. The tape locking screw techique (TLS): a new ACL reconstruction. Orthop Traumat. 2011,97(5): 555-59.

Zantrop T, Ferreti KM,BellP.V. et al.Effect of tunnel-graft length on the biomechanics of anterior cruciate ligament-reconstructed knees.Intra-articular study in a goat model. Am J Sport Med. 2008,(36):2158-66.

Yamazaki S,Yassida K,Tomita F et al.The effect of intraosseeous graft length on tendon bone healingin anterior cruciate ligament usisng flexor tendons. Knee Surg Sports Traumatol Arthrosc

,(14):1086-93.

Published

2017-08-11

How to Cite

1.
Martins Filho LF dos S, Martins GC dos S, Vasconcelos Filho LH, Raposo AH, Gamallo RB. Reconstrução do ligamento cruzado anterior com técnica all-inside utilizando sistema Tape Locking Screw - TLS. RTO [Internet]. 2017 Aug. 11 [cited 2025 Jun. 22];17(3):2-6. Available from: https://www.tecnicasemortopedia.com.br/revista/article/view/216

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