Deniz Aydin1, Mert Ozcan2. 1. Department of Orthopaedics and Traumatology, Near East University Faculty of Medicine, Nicosia, Cyprus. Electronic address: denizayd@yahoo.com. 2. Department of Orthopaedics and Traumatology, Trakya University Faculty of Medicine, Edirne, Turkey. Electronic address: mertozcan@trakya.edu.tr.
Abstract
BACKGROUND: Several femoral fixation devices are available for hamstring tendon autograft in anterior cruciate ligament (ACL) reconstruction, but the best technique is debatable. PURPOSE: We hypothesised that different suspensory femoral fixation techniques have no superiority over each other. The aim of this study was to evaluate and compare the clinical results of different suspensory femoral fixation devices in arthroscopic ACL reconstruction. STUDY DESIGN: This was a Level III, retrospective, comparative study. METHODS: A total of 100 consecutive patients who underwent arthroscopic ACL reconstruction in a single institution with a mean follow-up time of 40 months (12-67 months) were divided into three groups according to femoral fixation devices as 'Endobutton' (n=34), 'Transfix' (n=35) and 'Aperfix' (n=31). The length of painful period after surgery, time to return to work and sporting activities, final range of motion, anterior drawer and Lachman tests, knee instability symptoms, International Knee Documentation Committee (IKDC) subjective knee evaluation score, Short Form 36 (SF-36) score, Lysholm knee score and Tegner point of the patients were evaluated and compared between groups. RESULTS: There were no significant differences between the groups. All techniques led to significant recovery in knee instability tests and symptoms. CONCLUSION: In this study, the clinical results of different suspensory femoral fixation techniques were found to be similar. We believe that different femoral fixation techniques have no effect on clinical results provided that the technique is correctly applied. The surgeon must choose a technique appropriate to his or her experience.
BACKGROUND: Several femoral fixation devices are available for hamstring tendon autograft in anterior cruciate ligament (ACL) reconstruction, but the best technique is debatable. PURPOSE: We hypothesised that different suspensory femoral fixation techniques have no superiority over each other. The aim of this study was to evaluate and compare the clinical results of different suspensory femoral fixation devices in arthroscopic ACL reconstruction. STUDY DESIGN: This was a Level III, retrospective, comparative study. METHODS: A total of 100 consecutive patients who underwent arthroscopic ACL reconstruction in a single institution with a mean follow-up time of 40 months (12-67 months) were divided into three groups according to femoral fixation devices as 'Endobutton' (n=34), 'Transfix' (n=35) and 'Aperfix' (n=31). The length of painful period after surgery, time to return to work and sporting activities, final range of motion, anterior drawer and Lachman tests, knee instability symptoms, International Knee Documentation Committee (IKDC) subjective knee evaluation score, Short Form 36 (SF-36) score, Lysholm knee score and Tegner point of the patients were evaluated and compared between groups. RESULTS: There were no significant differences between the groups. All techniques led to significant recovery in knee instability tests and symptoms. CONCLUSION: In this study, the clinical results of different suspensory femoral fixation techniques were found to be similar. We believe that different femoral fixation techniques have no effect on clinical results provided that the technique is correctly applied. The surgeon must choose a technique appropriate to his or her experience.
Authors: Lindsey M Spragg; Heather A Prentice; Andrew Morris; Tadashi T Funahashi; Gregory B Maletis; Rick P Csintalan Journal: Knee Surg Sports Traumatol Arthrosc Date: 2019-03-01 Impact factor: 4.342
Authors: Thorkell Snaebjörnsson; Eric Hamrin Senorski; Eleonor Svantesson; Olof Westin; Andreas Persson; Jon Karlsson; Kristian Samuelsson Journal: JB JS Open Access Date: 2019-12-12