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Single-Bundle Anterior Cruciate Ligament Reconstruction with Semitendinosus Tendon Using the PINN-ACL CrossPin System: Minimum 4-Year Follow-up

경희수|Seung-Gil Baek|Byoung-Joo Lee|Chang-Hwa Lee
대한슬관절학회 (Korean Knee Society)|2015.03|Knee Surgery and Related Research|제27권 제1호|pp. 43-48

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키워드

ReconstructionAnterior cruciate ligamentSemitendinosus tendonPINN-ACL CrossPin

초록

Purpose: This study evaluated mid-term results of anterior cruciate ligament (ACL) reconstruction using the PINN-ACL CrossPin system that allowed for short graft fixation.Materials and Methods: Forty-three patients underwent single-bundle ACL reconstruction with a 4-strand semitendinosus tendon graft using the PINN-ACL CrossPin system. Femoral fixation was done using the PINN-ACL CrossPin system, and the tibial side was fixed with post-tie and a bioabsorbable interference screw. The mean follow-up period was 50 months. Evaluation was done using the Lachman test, pivot-shift test, International Knee Documentation Committee (IKDC) score and grade. Anterior displacement was assessed.Results: There was improvement in the Lachman test and pivot-shift test at final follow-up, form grade II (n=40) or III (n=3) to grade I (n=3) or 0 (n=40) and from grade I (n=20) or II (n=10) to grade I (n=8) or 0 (n=22), respectively. The mean IKDC score was 88.7, and grade A and B were 93.0% at final follow-up. Side-to-side difference was improved from 6.7 mm to 2.1 mm at final follow-up. Complications occurred in 3 patients, a re-ruptured due to trauma at 2 years after surgery and a deep infection and a superficial infection.Conclusions: The mid-term follow-up results of ACL reconstruction with the PINN-ACL CrossPin system were satisfactory. The PINN-ACL CrossPin can be considered as a useful instrument for short graft fixation.

Abstract

Purpose: This study evaluated mid-term results of anterior cruciate ligament (ACL) reconstruction using the PINN-ACL CrossPin system that allowed for short graft fixation.Materials and Methods: Forty-three patients underwent single-bundle ACL reconstruction with a 4-strand semitendinosus tendon graft using the PINN-ACL CrossPin system. Femoral fixation was done using the PINN-ACL CrossPin system, and the tibial side was fixed with post-tie and a bioabsorbable interference screw. The mean follow-up period was 50 months. Evaluation was done using the Lachman test, pivot-shift test, International Knee Documentation Committee (IKDC) score and grade. Anterior displacement was assessed.Results: There was improvement in the Lachman test and pivot-shift test at final follow-up, form grade II (n=40) or III (n=3) to grade I (n=3) or 0 (n=40) and from grade I (n=20) or II (n=10) to grade I (n=8) or 0 (n=22), respectively. The mean IKDC score was 88.7, and grade A and B were 93.0% at final follow-up. Side-to-side difference was improved from 6.7 mm to 2.1 mm at final follow-up. Complications occurred in 3 patients, a re-ruptured due to trauma at 2 years after surgery and a deep infection and a superficial infection.Conclusions: The mid-term follow-up results of ACL reconstruction with the PINN-ACL CrossPin system were satisfactory. The PINN-ACL CrossPin can be considered as a useful instrument for short graft fixation.

참고문헌 (30)

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관련 논문AI추천

ACL Reconstruction with Autologous Hamstring Tendon: Comparison of Short Term Clinical Results between Rigid-fix and PINN-ACL Cross Pin서승석, Chang-Wan Kim, Sang-Yeong Choi, Tae-Seok Nam대한슬관절학회 · Knee Surgery and Related Research2011 · 제23권 제4호Cross Pins versus Endobutton Femoral Fixation in Hamstring Anterior Cruciate Ligament Reconstruction: Minimum 4-Year Follow-Up인용, 공재관, Chi-Young Ahn, Geon-Hyeong Kim대한슬관절학회 · Knee Surgery and Related Research2012 · 제24권 제1호Comparison between Single and Dual Femoral Fixation for Anterior Cruciate Ligament Reconstruction with a Hamstring AutograftJin Goo Kim, Nam Ki Kim, Yong Seuk Lee대한슬관절학회 · Knee Surgery and Related Research2011 · 제23권 제3호Clinical experience with woven and parallel hamstring-tendon anterior cruciate ligament reconstructionDivyanshu Goyal, Sandeep Yadav, Vidyasagar JVS대한슬관절학회 · Knee Surgery and Related Research2019 · 제31권 One- Year Serial Follow-up Magnetic Resonance Imaging Study of RigidFix for Femoral Fixation in Anterior Cruciate Ligament Reconstruction노정호, 이재우대한슬관절학회 · Knee Surgery and Related Research2017 · 제29권 제3호Clinical Results Comparing Transtibial Technique and Outside in Technique in Single Bundle Anterior Cruciate Ligament Reconstruction김전교, 김창완, 서승석, 진성엽대한슬관절학회 · Knee Surgery and Related Research2013 · 제25권 제3호

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