Clinical results of hamstring autografts in anterior cruciate ligament reconstruction: A comparison of femoral knot/press-fit fixation and interference screw fixation

研究成果: 雜誌貢獻文章

9 引文 斯高帕斯(Scopus)

摘要

Purpose To compare the clinical outcomes of femoral knot/press-fit anterior cruciate ligament (ACL) reconstruction with conventional techniques using femoral interference screws. Methods Among patients who underwent arthroscopic ACL reconstruction with hamstring autografts, 73 were treated with either a femoral knot/press-fit technique (40 patients, group A) or femoral interference screw fixation (33 patients, group B). The clinical results of the 2 groups were retrospectively compared. The inclusion criteria were primary ACL reconstruction in active patients. The exclusion criteria were fractures, multiligamentous injuries, patients undergoing revision, or patients with contralateral ACL-deficient knees. In the femoral knot/press-fit technique, semitendinosus and gracilis tendons were prepared as 2 loops with knots. After passage through a bottleneck femoral tunnel, the grafts were fixed with a press-fit method (grafts' knots were stuck in the bottleneck of the femoral tunnel). A tie with Mersilene tape (Ethicon, Somerville, NJ) over a bone bridge for each tendon loop and an additional bioabsorbable interference screw were used for tibial fixation. Results The mean follow-up period was 38 months (range, 24 to 61 months). A significant improvement in knee function and symptoms was reported in most patients, as shown by improved Tegner scores, Lysholm knee scores, and International Knee Documentation Committee assessments (P
原文英語
頁(從 - 到)823-832
頁數10
期刊Arthroscopy - Journal of Arthroscopic and Related Surgery
30
發行號7
DOIs
出版狀態已發佈 - 2014

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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