Anterior cruciate ligament reconstruction with a single hamstring tendon graft and tape locking screw (TLS) fixation leads to good clinical outcome in two years of follow-up.

Autor: Metso L; Health Care Centre of the City Helsinki, Työpajankatu 14 A, 00580, Helsinki, Finland., Bister V; Department of Surgery, Clinicum, Faculty of Medicine, University of Helsinki, Finland.; Helsinki University Hospital Trauma Unit, Töölö Hospital and Peijas Hospital, Helsinki, Finland., Harilainen A; ORTON Orthopaedic Hospital, Tenholantie 10, 00280, Helsinki, Finland., Sandelin J; ORTON Orthopaedic Hospital, Tenholantie 10, 00280, Helsinki, Finland.
Jazyk: angličtina
Zdroj: Journal of orthopaedics [J Orthop] 2024 Jan 06; Vol. 51, pp. 12-15. Date of Electronic Publication: 2024 Jan 06 (Print Publication: 2024).
DOI: 10.1016/j.jor.2023.12.018
Abstrakt: Background: There are many fixation methods for hamstring tendon autograft available for anterior cruciate ligament (ACL) reconstruction. The intention of this study was to report clinical follow-up data of the Tape Locking Screw (TLS) reconstruction technique.
Hypothesis: Does TLS method give good long term results in patient satisfaction and in clinical knee tests.
Patients and Methods: We selected 119 prospectively collected patients with a two-year follow-up who had an ACL reconstruction using TLS technique. A total of 114 cases were available for follow-up two years postoperatively. The evaluation methods were instrumented laxity measurements, clinical examination and knee scores.
Results: The Lysholm and IKDC scores improved from preoperative 76 and 50 to 95 and 90, respectively. Tegner activity level before surgery was 3 and improved to 6 at 2 years postoperatively.
Discussion: ACL reconstruction with TLS technique showed good objective outcome at the 2-year follow-up. We confirmed improvement in all evaluation method variables.
Level of Evidence: Case series; level of evidence, 4.
Trial Registration: ISRCTN registry, study ID ISRCTN34011837. Registered retrospectively April 29, 2020.
Competing Interests: We do not have competing interests.
(© 2024 The Authors.)
Databáze: MEDLINE