The Influence of Graft Fixation Methods on Revision Rates After Primary Anterior Cruciate Ligament Reconstruction

Eysturoy, Niclas Højgaard; Nissen, Kåre Amtoft; Nielsen, Torsten Grønbech; Lind, Martin

doi:10.1177/0363546517748924

Cited by 66 publications

(60 citation statements)

References 33 publications

(42 reference statements)

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“…Combined data from all three registers showed that transfemoral hamstring tendon autograft fixations (Rigidfix and Transfix) reduced the risk of revision by 30% compared with Endobutton 25. In the DKRR, use of cortical suspensory fixation increased the 2-year risk of revision ACL reconstruction compared with all other categories for femoral fixation (adjustable cortical suspensory fixation, intratunnel transfixation and interference screw) (HR 1.24 [95% CI 1.07 to 1.44], p<0.05), while intratunnel transfixation lowered the risk of revision (HR 0.83 [95% CI 0.73 to 0.95], p<0.05) 24. The combinations Endobutton/Intrafix and Endobutton/Biosure PEEK for hamstring tendon autograft femoral/tibial fixation exhibited an increased risk of revision, while the lowest risk was found among combinations used for fixation of patella tendon autografts 24.…”

Section: Resultsmentioning

confidence: 99%

“…In the DKRR, use of cortical suspensory fixation increased the 2-year risk of revision ACL reconstruction compared with all other categories for femoral fixation (adjustable cortical suspensory fixation, intratunnel transfixation and interference screw) (HR 1.24 [95% CI 1.07 to 1.44], p<0.05), while intratunnel transfixation lowered the risk of revision (HR 0.83 [95% CI 0.73 to 0.95], p<0.05) 24. The combinations Endobutton/Intrafix and Endobutton/Biosure PEEK for hamstring tendon autograft femoral/tibial fixation exhibited an increased risk of revision, while the lowest risk was found among combinations used for fixation of patella tendon autografts 24. Similar results have been reported also from the NKLR,26 while two studies contradict these findings by stating that femoral fixation did not influence the risk of revision 11 17.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Factors associated with additional anterior cruciate ligament reconstruction and register comparison: a systematic review on the Scandinavian knee ligament registers

et al. 2018

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Factors associated with additional anterior cruciate ligament reconstruction and register comparison: a systematic review on the Scandinavian knee ligament registers

et al. 2018

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“…27 Graft-related factors (eg, type and method of fixation) have been reported as risk factors for subsequent (revision or contralateral) ACLR. 11,18,19 Based on previous studies in patients who underwent primary ACLR, the rate of primary ACL graft rupture ranges from 4.4% to 7.7%, whereas the rate of contralateral ACL rupture in those patients falls between 4.4% and 11.8%. 15,19,43 However, other variables have also been identified as independent risk factors for revision ACLR, including age, sex, race, body mass index (BMI), activity level, smoking status, and concomitant injury.…”

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confidence: 99%

Risk Factors for Early Subsequent (Revision or Contralateral) ACL Reconstruction: A Retrospective Database Study

Gallo

Bolia²,

Jalali

et al. 2020

Orthopaedic Journal of Sports Medicine

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Background: Many factors contribute to the risk for subsequent anterior cruciate ligament reconstruction (ACLR) within 2 years from the index procedure. Purpose/Hypothesis: The purpose of this study was 2-fold: (1) to evaluate the incidence of subsequent (revision or contralateral) ACLR at 2 years in a large cohort and (2) to explore the association between patient-specific factors and early subsequent ACLR risk by age group. We hypothesize that 2-year subsequent (revision or contralateral) ACLR rates will be low and that risk factors for subsequent (revision or contralateral) ACLR will vary depending on a patient’s age group. Study Design: Case-control study; Level of evidence, 3. Methods: The California Office of Statewide Health Planning and Development Ambulatory Surgery Database was retrospectively reviewed to assess the incidence of 2-year subsequent (revision or contralateral) ACLR and to identify patient-specific risk factors for early subsequent (revision or contralateral) ACLR by age group between 2005 and 2014. Results: Of 94,108 patients included, the rate of subsequent (revision or contralateral) ACLR was highest in patients younger than 21 years (2.4 per 100 person-years; 95% CI, 2.3-2.6) and lowest in those older than 40 years (1.3 per 100 person-years; 95% CI, 1.2-1.4). Younger age, white race (compared with Hispanic in all age groups and Asian in age <21 or >40 years), private insurance if age younger than 21 years, public insurance or worker's compensation claims if age older than 30 years were significantly associated with an increased risk of subsequent (revision or contralateral) ACLR at 2 years. Conclusion: Results of the present study provide insight into subsequent (revision or contralateral) ACL reconstruction, which can be used to assess and modify treatment for at-risk patients and highlight the need for data mining to generate clinically applicable research using national and international databases.

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“…The success of arthroscopic ACL reconstruction depends on several factors, including graft tension during fixation, 4 type and source of the graft, 5 tunnel position, 6 knee flexion angle at the time of fixation, 7 method of graft fixation, 8 and initial graft tension at the time of fixation. 9 Of these variables, the amount of tension applied during graft fixation has been hypothesized to be an important determinant of successful ACL reconstruction.…”

Section: Discussionmentioning

confidence: 99%

Graft Retensioning by Dialing of Suture Disk on Tibial-Side Fixation in Arthroscopic Anterior Cruciate Ligament Reconstruction: Pathak Pune Dialing Technique

Pathak

Kumar

Dubey

et al. 2020

Arthroscopy Techniques

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Arthroscopic anterior cruciate ligament (ACL) reconstruction is a common procedure performed for symptomatic ACL tears, especially in athletes. The desired surgical end product with any surgical fixation device remains a taut ACL graft, which is crucial during postoperative rehabilitation to reduce the risk of knee instability and rerupture of the ACL graft. The purpose of this Technical Note and accompanying video is to describe a simple and cost-effective technique to easily retension the ACL graft after tibial fixation in ACL reconstruction using a suture disk device. The technique uses a simple suture disk device to provide strong tibial fixation, along with the unique ability to retension the ACL graft by dialing it in a clockwise direction.

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The Influence of Graft Fixation Methods on Revision Rates After Primary Anterior Cruciate Ligament Reconstruction

Cited by 66 publications

References 33 publications

Factors associated with additional anterior cruciate ligament reconstruction and register comparison: a systematic review on the Scandinavian knee ligament registers

Factors associated with additional anterior cruciate ligament reconstruction and register comparison: a systematic review on the Scandinavian knee ligament registers

Risk Factors for Early Subsequent (Revision or Contralateral) ACL Reconstruction: A Retrospective Database Study

Graft Retensioning by Dialing of Suture Disk on Tibial-Side Fixation in Arthroscopic Anterior Cruciate Ligament Reconstruction: Pathak Pune Dialing Technique

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