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Press-fit fixation of a bone block on the femoral side provides sufficient strength of approximately 400 N when underdrilled by 1 mm and further dilated [ 11, 13].
At operation a mid-line para-patellar approach was made partially detaching the anterior tibial tuberosity (6 cm long bone block) on the medial side.
Bringing the knee towards extension the graft was pulled distally with the sutures exiting the tibial tunnel to ensure press-fit fixation and absolute stability of the bone block on the femoral side.
ACL reconstruction with autologous quadriceps tendon graft using press-fit fixation of the bone block on the femoral side and suture post and press-fit bone wedge on the tibial side represents a reproducible and biological surgical technique.
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In the Bristow-Latarjet procedure, optimal positioning of the coracoid bone-block on the anterior aspect of the glenoid (standing or lying on the glenoid rim) remains debated.
Some authors report the use of cortical blocks of different origins (tibia, femur) with good clinical results and viable histological results with delayed remodeling, 33, 52, 55, 81, 82, 89 while others reveal greater resorption but higher histological incorporation of cancellous bone blocks on a short evaluation period.
The size of the bone block, its position on the glenoid and the relationship with the subscapularis tendon were investigated.
> There were three operations of a miscellaneous nature, including two shelf operations on hips, and one bone block between the bases of the first and second metacarpals to obtain stability of the thumb.
In the augmentation procedure, a crestal incision in the attached gingiva of the edentulous alveolar crest with one vertical releasing incision was used, after mobilization of the mucoperiosteal flap an autologous retromolar bone block was fixed on the occlusal part of the alveolar ridge.
The graft was introduced with the bone block placed into the femoral bone tunnel, while the soft tissue end of the graft was placed on the tibial side.
Last but not least, knowledge is very limited on the healing of the free bone block using the button system and on the healing of the subscapularis tendon on the glenoid rim.
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