Rahul Ranjan1, Sahil Gaba2, Lakshay Goel1, Naiyer Asif3, Mukesh Kalra1, Ramesh Kumar1, Arvind Kumar2. 1. 1 Lady Hardinge Medical College and Associated Hospitals, New Delhi, India. 2. 2 All India Institute of Medical Sciences, New Delhi, India. 3. 3 J.N. Medical College and Hospital, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.
Abstract
INTRODUCTION: There is a lack of in vivo studies comparing the functional outcome and knee stability after anterior cruciate ligament reconstruction (ACLR) using fixed loop (EndoButton (EB) CL) and adjustable loop (TightRope (TR) RT) devices for femoral fixation of soft tissue grafts. MATERIALS AND METHODS: Functional outcomes were assessed in terms of the International Knee Documentation Committee (IKDC) and Lysholm scores, knee stability by anteroposterior laxity and side-to-side difference (SSD) using KT-1000 arthrometer. The evaluation was performed preoperatively and post-operatively at 6 months and 2 years. RESULTS: Both groups were matched in terms of demographic, preoperative, intraoperative and post-operative covariates. EB ( n = 52) appeared to have better IKDC and Lysholm scores at 6 months post-operative when compared to TR ( n = 50). However, at a final follow-up of 2 years, the results were similar. The anterior tibial translation and SSD were statistically insignificant between the two groups at 6 months and 2 years. CONCLUSION: ACLR using EB or TR for femoral fixation gives substantially equivalent functional results and knee stability at mid-term follow-up.
RCT Entities:
INTRODUCTION: There is a lack of in vivo studies comparing the functional outcome and knee stability after anterior cruciate ligament reconstruction (ACLR) using fixed loop (EndoButton (EB) CL) and adjustable loop (TightRope (TR) RT) devices for femoral fixation of soft tissue grafts. MATERIALS AND METHODS: Functional outcomes were assessed in terms of the International Knee Documentation Committee (IKDC) and Lysholm scores, knee stability by anteroposterior laxity and side-to-side difference (SSD) using KT-1000 arthrometer. The evaluation was performed preoperatively and post-operatively at 6 months and 2 years. RESULTS: Both groups were matched in terms of demographic, preoperative, intraoperative and post-operative covariates. EB ( n = 52) appeared to have better IKDC and Lysholm scores at 6 months post-operative when compared to TR ( n = 50). However, at a final follow-up of 2 years, the results were similar. The anterior tibial translation and SSD were statistically insignificant between the two groups at 6 months and 2 years. CONCLUSION: ACLR using EB or TR for femoral fixation gives substantially equivalent functional results and knee stability at mid-term follow-up.
Authors: Mohammad Jesan Khan; Naiyer Asif; Mohd Hadi Aziz; Ariz Raza; Shahzad Anwar; Shibili Nuhmani; Ahmad H Alghadir; Masood Khan Journal: J Clin Med Date: 2022-06-24 Impact factor: 4.964