Brittany M. Woodall, D. O. , Nicholas Elena, M. D. , Joseph T

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Anterior Cruciate Ligament Reconstruction With Amnion Biological Augmentation Brittany M. Woodall, D.O., Nicholas Elena, M.D., Joseph T. Gamboa, M.D., Edward C. Shin, M.D., Neil Pathare, M.D., Patrick J. McGahan, M.D., James L. Chen, M.D., M.P.H. Arthroscopy Techniques Volume 7, Issue 4, Pages e355-e360 (April 2018) DOI: 10.1016/j.eats.2017.10.002 Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 1 Sterilely packaged Arthrex Amnion Matrix Thick graft. The epithelial layer of the Arthrex Amnion Matrix is facing upward when the triangle notch is on the upper left-hand corner of the graft. The epithelial layer is facing the camera and will be wrapped around the anterior cruciate ligament allograft with this layer touching the graft. Arthroscopy Techniques 2018 7, e355-e360DOI: (10.1016/j.eats.2017.10.002) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 2 The Arthrex Amnion Matrix Thick graft is placed on the anterior cruciate ligament tendon allograft with the epithelial layer facedown, toward the graft. The amnion matrix is placed approximately 1 cm from the femoral end of the allograft. Arthroscopy Techniques 2018 7, e355-e360DOI: (10.1016/j.eats.2017.10.002) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 3 The Arthrex Amnion Matrix Thick graft is rehydrated as necessary to make the graft pliable and able to wrap around the anterior cruciate ligament tendon allograft. Arthroscopy Techniques 2018 7, e355-e360DOI: (10.1016/j.eats.2017.10.002) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 4 The Arthrex Amnion Matrix Thick graft is secured with simple interrupted Vicryl sutures from the femoral end to the tibial end of the allograft. Arthroscopy Techniques 2018 7, e355-e360DOI: (10.1016/j.eats.2017.10.002) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 5 Pre-sutured allograft tendon (star) with Arthrex Amnion Matrix Thick graft sutured into place. The blue lines indicate the edges of the amnion graft. Arthroscopy Techniques 2018 7, e355-e360DOI: (10.1016/j.eats.2017.10.002) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions