BACKGROUND: To determine if there is a different clinical outcome after TransFix versus endobutton femoral fixation in hamstring anterior cruciate ligament (ACL) reconstruction. METHODS:Twenty-nine patients were randomized into either Endobutton (Smith & Nephew, Andover, MA, USA) (n= 13) or TransFix (Arthrex, Naples, FL, USA) (n= 16) femoral fixation in hamstring ACL reconstruction. The distal fixation was with a bioabsorbable interference screw. The evaluation methods were clinical history and examination, KT1000 arthrometry for laxity as well as the International Knee Documentation Committee (IKDC) scores over a 2-year time frame. RESULTS: There were no significant differences between the study groups preoperatively. For the 2-year follow-up, 11 patients in the Endobutton group and 13 patients in the TransFix group were available (greater than 80%). No statistical differences between the two groups were found at the 1- or 2-year follow-up examinations. At the 2-year follow-up, 72.7% of the Endobutton and 84.6% of the TransFix group patients were in the IKDC A or B categories. Additional procedures postoperatively occurred more frequently in the TransFix group. CONCLUSIONS: There were no significant differences in the results for either technique of femoral fixation.
RCT Entities:
BACKGROUND: To determine if there is a different clinical outcome after TransFix versus endobutton femoral fixation in hamstring anterior cruciate ligament (ACL) reconstruction. METHODS: Twenty-nine patients were randomized into either Endobutton (Smith & Nephew, Andover, MA, USA) (n= 13) or TransFix (Arthrex, Naples, FL, USA) (n= 16) femoral fixation in hamstring ACL reconstruction. The distal fixation was with a bioabsorbable interference screw. The evaluation methods were clinical history and examination, KT1000 arthrometry for laxity as well as the International Knee Documentation Committee (IKDC) scores over a 2-year time frame. RESULTS: There were no significant differences between the study groups preoperatively. For the 2-year follow-up, 11 patients in the Endobutton group and 13 patients in the TransFix group were available (greater than 80%). No statistical differences between the two groups were found at the 1- or 2-year follow-up examinations. At the 2-year follow-up, 72.7% of the Endobutton and 84.6% of the TransFix group patients were in the IKDC A or B categories. Additional procedures postoperatively occurred more frequently in the TransFix group. CONCLUSIONS: There were no significant differences in the results for either technique of femoral fixation.
Authors: Eduardo da Silva Guarilha; Paulo Roberto de Andrade Fígaro Caldeira; Ozorio de Almeida Lira Neto; Marcelo Schmidt Navarro; Antonio Milani; Mario Carneiro Filho Journal: Rev Bras Ortop Date: 2015-12-06
Authors: Miguel Angel Sánchez-Carrasco; Juan Francisco Abellán; Salima Qudsi-Sinclair; Guadalupe Ruiz-Merino; Francisco Javier Carrillo-Juliá; David Bo-Rueda Journal: Indian J Orthop Date: 2017 Sep-Oct Impact factor: 1.251