Cross Pins versus Endobutton Femoral Fixation in Hamstring Anterior Cruciate Ligament Reconstruction: Minimum 4-Year Follow-Up
2
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
Purpose: We aimed to compare cross-pin fixation and Endobutton femoral fixation for hamstring anterior cruciate ligament (ACL) reconstruction with respect to clinical and radiographic results, including tunnel widening and the progression of knee osteoarthritis (OA). Materials and Methods: Between August 2002 and August 2005, 126 autogenous hamstring ACL reconstructions were performed using either cross pins or Endobutton for femoral fixation. Fifty-six of 75 patients in the cross-pin group and 35 of 51 patients in the Endobutton group were followed up for a minimum of 4 years. We compared the clinical and radiological results between the groups using the International Knee Documentation Committee (IKDC) evaluation form, the KT-2000 arthrometer side to side difference, the amount of tunnel widening and the advancement of OA on radiographs. Results: There were no significant differences in the IKDC grades between the groups at the 4 year follow-up. There was no significant difference in the side to side difference according to KT-2000 arthrometer testing. Also, there were no significant differences in terms of tunnel widening or advancement of OA on radiographs. Conclusions: Endobutton femoral fixation showed good results that were comparable to those of cross pins fixation in hamstring ACL reconstruction.
Abstract
Purpose: We aimed to compare cross-pin fixation and Endobutton femoral fixation for hamstring anterior cruciate ligament (ACL) reconstruction with respect to clinical and radiographic results, including tunnel widening and the progression of knee osteoarthritis (OA). Materials and Methods: Between August 2002 and August 2005, 126 autogenous hamstring ACL reconstructions were performed using either cross pins or Endobutton for femoral fixation. Fifty-six of 75 patients in the cross-pin group and 35 of 51 patients in the Endobutton group were followed up for a minimum of 4 years. We compared the clinical and radiological results between the groups using the International Knee Documentation Committee (IKDC) evaluation form, the KT-2000 arthrometer side to side difference, the amount of tunnel widening and the advancement of OA on radiographs. Results: There were no significant differences in the IKDC grades between the groups at the 4 year follow-up. There was no significant difference in the side to side difference according to KT-2000 arthrometer testing. Also, there were no significant differences in terms of tunnel widening or advancement of OA on radiographs. Conclusions: Endobutton femoral fixation showed good results that were comparable to those of cross pins fixation in hamstring ACL reconstruction.
참고문헌 (27)
- Brand J Jr, "fixation in cruciate ligament reconstruction", Am J Sports Med, 28, pp.761~774 (2000)
- Milano G, "Evaluation of bone plug and soft tissue anterior cruciate ligament graft fixation over time using transverse femoral fixation in a sheep model", Arthroscopy, 21, pp.532~539 (2005)
- Hamner DL, "Hamstring tendon grafts for reconstruction of the anterior cruciate ligament: biomechanical evaluation of the use of multiple strands and tensioning techniques", J Bone Joint Surg Am, 81, pp.549~557 (1999)
- To JT, "Contributions of femoral fixation methods to the stiffness of anterior cruciate ligament replacements at implantation", Arthroscopy, 15, pp.379~387 (1999)
- Milano G, "Comparison between different femoral fixation devices for ACL reconstruction with doubled hamstring tendon graft: a biomechanical analysis", Arthroscopy, 22, pp.660~668 (2006)
- Barrett GR, "Endobutton button endoscopic fixation technique in anterior cruciate ligament reconstruction", Arthroscopy, 11, pp.340~343 (1995)
- Hoher J, "Hamstring graft motion in the femoral bone tunnel when using titanium button", polyester tape fixation, 1999, pp.7, 215~219
- Jorgensen U, "Behavior of the graft within the bone tunnels following anterior cruciate ligament reconstruction, studied by cinematic magnetic resonance imaging", Knee Surg Sports Traumatol Arthrosc, 8, pp.32~35 (2000)
- L’Insalata JC, "Tunnel expansion following anterior cruciate ligament reconstruction: a comparison of hamstring and patellar tendon autografts", Knee Surg Sports Traumatol Arthrosc, 5, pp.234~238 (1997)
- Clark R, "Cross-pin femoral fixation: a new technique for hamstring anterior cruciate ligament reconstruction of the knee", Arthroscopy, 14, pp.258~267 (1998)
- Baumfeld JA, "Tunnel widening following anterior cruciate ligament reconstruction using hamstring autograft: a comparison between double cross-pin and suspensory graft fixation", Knee Surg Sports Traumatol Arthrosc, 16, pp.1108~1113 (2008)
- Fauno P, "Tunnel widening after hamstring anterior cruciate ligament reconstruction is influenced by the type of graft fixation used: a prospective randomized study", Arthroscopy, 21, pp.1337~1341 (2005)
- Fahey M, "Bone tunnel enlargement after anterior cruciate ligament replacement", Am J Sports Med, 22, pp.410~414 (1994)
- Clatworthy MG, "Tunnel widening in anterior cruciate ligament reconstruction: a prospective evaluation of hamstring and patella tendon grafts", Knee Surg Sports Traumatol Arthrosc, 7, pp.138~145 (1999)
- Ma CB, "Hamstring anterior cruciate ligament reconstruction: a comparison of bioabsorbable interference screw and endobutton-post fixation", Arthroscopy, 20, pp.122~128 (2004)
- Simonian PT, "Tunnel expansion after hamstring anterior cruciate ligament reconstruction with 1-incision EndoButton femoral fixation", Arthroscopy, 16, pp.707~714 (2000)
- Kellgren JH, "Radiological assessment of osteo-arthrosis", Ann Rheum Dis, 16, pp.494~502 (1957)
- Majewski M, "Epidemiology of athletic knee injuries: a 10-year study", Knee, 13, pp.184~188 (2006)
- Carson EW, "Fact, myth, or common sense: anterior cruciate ligament reconstruction graft selection", Orthopedics, 22, pp.567~568 (1999)
- Shelbourne KD, "Accelerated rehabilitation after anterior cruciate ligament reconstruction", Am J Sports Med, 18, pp.292~299 (1990)
- Ahmad CS, "Mechanical properties of soft tissue femoral fixation devices for anterior cruciate ligament reconstruction", Am J Sports Med, (32), pp.635~640 (2004)
- Laxdal G, "Biodegradable and metallic interference screws in anterior cruciate ligament reconstruction surgery using hamstring tendon grafts: prospective randomized study of radiographic results and clinical outcome", Am J Sports Med, 34, pp.1574~1580 (2006)
- Wilson TC, "Tunnel enlargement after anterior cruciate ligament surgery", Am J Sports Med, 32, pp.543~549 (2004)
- Buck DC, "Timeline of tibial tunnel expansion after single-incision hamstring anterior cruciate ligament reconstruction", Arthroscopy, 20, pp.34~36 (2004)
- Fink C, "Tibial tunnel enlargement following anterior cruciate ligament reconstruction with patellar tendon autograft", Arthroscopy, 17, pp.138~143 (2001)
- Peyrache MD, "Tibial tunnel enlargement after anterior cruciate ligament reconstruction by autogenous bone-patellar tendon-bone graft", Knee Surg Sports Traumatol Arthrosc, 4, pp.2~8 (1996)
- Pinczewski LA, "A five-year comparison of patellar tendon versus four-strand hamstring tendon autograft for arthroscopic reconstruction of the anterior cruciate ligament", Am J Sports Med, 30, pp.523~536 (2002)