Evaluation and comparison of clinical results of femoral fixation devices in arthroscopic anterior cruciate ligament reconstruction

Küçük Resim Yok

Tarih

2016

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

Elsevier Science Bv

Erişim Hakkı

info:eu-repo/semantics/closedAccess

Özet

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. (C) 2015 Elsevier B.V. All rights reserved.

Açıklama

Anahtar Kelimeler

Anterior Cruciate Ligament, Femoral Fixation, Clinical Results, Arthroscopic Reconstruction, Hamstring Tendon Graft, Acl Reconstruction

Kaynak

Knee

WoS Q Değeri

Q2

Scopus Q Değeri

Q2

Cilt

23

Sayı

2

Künye