Femoral press-fit fixation versus interference screw fixation in anterior cruciate ligament reconstruction with bone-patellar tendon-bone autograft: 20-year follow-up
| Autor: | Alfonso Manzotti, Alessio Biazzo, K. Motavalli, Norberto Confalonieri |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
musculoskeletal diseases
Bone autograft 030222 orthopedics medicine.medical_specialty Anterior cruciate ligament reconstruction business.industry medicine.medical_treatment Anterior cruciate ligament Press fit fixation 030229 sport sciences musculoskeletal system Patellar tendon Arthroplasty Screw fixation Surgery 03 medical and health sciences Fixation (surgical) Bone patellar tendon bone 0302 clinical medicine medicine.anatomical_structure medicine Orthopedics and Sports Medicine business |
| Zdroj: | Journal of Clinical Orthopaedics and Trauma. 9:116-120 |
| ISSN: | 0976-5662 |
| DOI: | 10.1016/j.jcot.2018.02.010 |
| Popis: | Introduction The aim of this paper is to present our experience with femoral press-fit fixation in anterior cruciate ligament reconstruction using bone-patellar tendon-bone autograft. Methods The patient population was randomly placed in two groups: group A (58 patients), who underwent femoral screw fixation; group B (62 patients), who underwent femoral press-fit fixation. Results At last follow-up 9.2% of patients were lost; 28% of patients in group A and 64% of patients in group B had excellent International Knee Documentation Committee score (grade A); 66% of patients in group A and 32% of patients in group B had good International Knee Documentation Committee scores (grade B). The difference was statistically significant (p Conclusions Femoral press-fit fixation of bone- patellar tendon- bone autograft provides stable fixation at low cost, it ensures unlimited bone-to-bone healing and high primary stability, avoiding the disadvantages of hardware and the need for removal in case of revision. |
| Databáze: | OpenAIRE |
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