Cross-pin femoral fixation: a new technique for hamstring anterior cruciate ligament reconstruction of the knee

Clark, Ron; Olsen, RE; Larson, BJ; Goble, E. Marlowe; Farrer, RP

doi:10.1016/s0749-8063(98)70141-0

Cited by 159 publications

(99 citation statements)

References 44 publications

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“…Anterior cruciate ligament (ACL) reconstruction is a successful surgical technique in anterior knee instability associated with rupture of ACL [4,24]. Many different techniques have been described for ACL reconstruction, with intra-articular placement of the graft the most popular one.…”

Section: Introductionmentioning

confidence: 99%

Does bone impaction technique reduce tunnel enlargement in ACL reconstruction?

Gökçe

Beyzadeoğlu

Ozyer

et al. 2008

International Orthopaedics (SICOT)

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The aim of this study was to investigate effects of bone impaction technique on tunnel enlargement after ACL reconstruction at a minimum 2 years follow-up. Two groups of patients who had been operated upon with the same arthroscopic technique with the exception of tibial tunnel constitution were compared. Twenty-one patients of group A (drilling to 6 mm followed enlargement to 8-9 mm by using dilators) and 23 patients of group B (directly drilling to the size of the graft) were evaluated clinically and radiographically based on multislice computerised tomography (MSCT) retrospectively. At follow-up, there was no statistical difference between tunnel diameters between two groups at the femoral site, but significant difference at the tibial site (p= 0.00192 for coronal; p=0.0171 for sagittal diameter). Both groups were comparable according pre-and postoperative Lysholm and IKDC scores (p<0.5 Mann-Whitney U test). Compacted tunnel walls may resist enlargement, suggesting this technique resulted in better tunnel diameter values especially with intratunnel fixation.

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Section: Introductionmentioning

confidence: 99%

Does bone impaction technique reduce tunnel enlargement in ACL reconstruction?

Gökçe

Beyzadeoğlu

Ozyer

et al. 2008

International Orthopaedics (SICOT)

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“…4 Results of cyclic loading and load-to-failure test series (A: failure load before cyclic loading, B: failure load after cyclic loading) suspensory device, even though high fixation strength can be obtained, a very low stiffness in comparison to the normal ACL or BPTB was shown [23] and due to a bungee effect, the result of the long distances between the fixation sites and elastic materials, the widening of femoral tunnels would be expected [9,13,15]. In cases using cross-pins, as the cortical-cancellous suspensory devices, excellent strength and stiffness have been reported [8]; nonetheless, it has the shortcomings of bungee effects and slippage within cancellous bones [14]. Interference screws, as the compression fixation devices, could be fixed close to the normal ACL attachment site [22], and additional incisions are not required.…”

Section: Discussionmentioning

confidence: 99%

Comparative biomechanical study of the Ligament Plate® and other fixation devices in ACL reconstruction

Sim

Kwak

Yang

et al. 2008

International Orthopaedics (SICOT)

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The objective of this study was to evaluate and compare the biomechanical properties of the Ligament Plate® with other femoral fixation devices. The Ligament Plate® and three different femoral fixation devices were used in fixation of 60 porcine femora and harvested porcine tendons. For each fixation device, a porcine graft-tendon complex was used for the simple load-to-failure test and the load-to-failure test after a cyclic loading test, and the maximal failure load was measured. The amount of graft elongation and failure pattern after the cyclic loading test and load-to-failure test were evaluated. In the BioScrew® group, the mean maximal failure load in the load-to-failure test and load-to-failure test after a cyclic loading test was significantly lower and significant graft elongation was noted. There were no significant differences between the other groups. The Ligament Plate® provided adequate initial fixation power suitable for early rehabilitation.

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“…Nepaisant didelio skaièiaus klinikiniø tyrimø, kuriø metu buvo tiriamos priekinio kryþminio raiðèio traumos ir rekonstrukcijos, vis dar neaiðkios prieþastys, lemianèios sugráþimà á buvusá aktyvumo lygá. Beje, kitø tyrimø autoriai nenurodo tikslaus pacientø sugráþimo á buvusá fizinio aktyvumo lygá laiko, bet tik pageidautinà sugráþimo laikà (1,4,7,9,10,(12)(13)(14)(15)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30). Visi tyrimai, deja, buvo sukoncentruoti tik á sugráþimo faktà, bet ne sugráþimo laikà (1,4,7,9,10,(12)(13)(14)(15)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30).…”

Section: Lentelë Galutinis Ikdc áVertinimasunclassified

“…keturgalvio ðlaunies raumens ir ðlaunies lenkiamøjø raumenø susitraukimo jëgos deficità praëjus vidutiniðkai 30 mën. po operacijø (7).…”

Section: Lentelë Galutinis Ikdc áVertinimasunclassified

A prospective comparison of double- and single-bundle anterior cruciate ligament reconstructions

Gudas¹,

Smailys²,

Vostrugina³

et al. 2008

Medicina

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ÁvadasDël maþesnës donorinës vietos sindromo tikimybës vis daþniau priekinio kryþminio raiðèio (PKR) rekonstrukcijos operacijos sportininkams atliekamos panaudojant ðlaunies lenkiamøjø sausgysliø transplantatus, kurie fiksuojami tirpiaisiais sraigtais viename arba dviejuose kaulo kanaluose (1-4). Kryþminio raiðèio transplantà fiksuojant viename kanale, atliekama vieno pluoðto, o fiksuojant dviejuose kanaluose -dviejø pluoðtø rekonstrukcija. Dviejø pluoðtø PKR (DP-PKR) rekonstrukcija anatomiðkai tiksliau atkuria plyðusá kryþminá raiðtá, taèiau dël metodikos sudëtin-gumo klinikinëje praktikoje taikoma labai retai. Atliekant vieno pluoðto priekinio kryþminio raiðèio (VP-PKR) rekonstrukcijà, labai svarbu transplantà ásodinti á anatomiðkai bei funkciðkai labai tikslià kelio sànario vietà. To nepadarius, PKR rekonstrukcija neatkurs stabilaus kelio sànario anatomijos, nors pacientui po tokios operacijos bus ðiek tiek geriau, bet aktyvios fizinës ir kontaktinës veiklos sportininkas taesti negalës. Todël pasaulinëje praktikoje vis daþniau atliekama DP-PKR rekonstrukcija, kuri teoriðkai turëtø bûti pranaðesnë uþ standartinae vieno pluoðto PKR rekonstrukcijà. Taèiau nëra klinikiniø tyrimø, árodanèiø vieno ar kito PKR rekonstrukcijos metodo pranaðumà.Ðio tyrimo tikslas -palyginti klinikinius ir radiologinius rezultatus sportininkams po PKR dviejø pluoðtø ir vieno pluoðto rekonstrukcijos. Pirminiai ðio tyrimo tikslai -iðtirti iki traumos fizinio aktyvumo lygio atkûrimà bei DP-PKR rekonstrukcijos galimà pranaðu-mà prieð áprastà vieno pluoðto PKR rekonstrukcijà. Tirtøjø kontingentas ir tyrimo metodai

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Cross-pin femoral fixation: a new technique for hamstring anterior cruciate ligament reconstruction of the knee

Cited by 159 publications

References 44 publications

Does bone impaction technique reduce tunnel enlargement in ACL reconstruction?

Does bone impaction technique reduce tunnel enlargement in ACL reconstruction?

Comparative biomechanical study of the Ligament Plate® and other fixation devices in ACL reconstruction

A prospective comparison of double- and single-bundle anterior cruciate ligament reconstructions

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