Hamstring Autograft
Endobutton + Interference screw +/- staple or post
Advantage
- endobutton simple yet strong fixation
- endobutton eliminates problem if blow out back wall
Advantage
- endobutton simple yet strong fixation
- endobutton eliminates problem if blow out back wall
Dominant arm of middle aged men
- between 40 and 60
Sudden dramatic event
- sporting / weightlifting injury
- resisting heavy extension load
Degenerative changes seen on histology
Complete
- retracted / rupture of lacertus fibrosis
- minimally retracted