Single-Bundle Anterior Cruciate Ligament Reconstruction with Semitendinosus Tendon Using the PINN-ACL CrossPin System: Minimum 4-Year Follow-up
| Autor: | Byoung-Joo Lee, Hee-Soo Kyung, Chang-Hwa Lee, Seung-Gil Baek |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Anterior cruciate ligament reconstruction business.industry musculoskeletal neural and ocular physiology medicine.medical_treatment Anterior cruciate ligament musculoskeletal system Semitendinosus tendon Surgery surgical procedures operative Double bundle medicine.anatomical_structure Orthopedic surgery medicine Original Article Orthopedics and Sports Medicine Reconstruction PINN-ACL CrossPin Graft fixation business human activities |
| Zdroj: | Knee Surgery & Related Research |
| ISSN: | 2234-2451 2234-0726 |
| DOI: | 10.5792/ksrr.2015.27.1.43 |
| Popis: | Purpose This study evaluated mid-term results of anterior cruciate ligament (ACL) reconstruction using the PINN-ACL CrossPin system that allowed for short graft fixation. Materials and Methods Forty-three patients underwent single-bundle ACL reconstruction with a 4-strand semitendinosus tendon graft using the PINN-ACL CrossPin system. Femoral fixation was done using the PINN-ACL CrossPin system, and the tibial side was fixed with post-tie and a bioabsorbable interference screw. The mean follow-up period was 50 months. Evaluation was done using the Lachman test, pivot-shift test, International Knee Documentation Committee (IKDC) score and grade. Anterior displacement was assessed. Results There was improvement in the Lachman test and pivot-shift test at final follow-up, form grade II (n=40) or III (n=3) to grade I (n=3) or 0 (n=40) and from grade I (n=20) or II (n=10) to grade I (n=8) or 0 (n=22), respectively. The mean IKDC score was 88.7, and grade A and B were 93.0% at final follow-up. Side-to-side difference was improved from 6.7 mm to 2.1 mm at final follow-up. Complications occurred in 3 patients, a re-ruptured due to trauma at 2 years after surgery and a deep infection and a superficial infection. Conclusions The mid-term follow-up results of ACL reconstruction with the PINN-ACL CrossPin system were satisfactory. The PINN-ACL CrossPin can be considered as a useful instrument for short graft fixation. |
| Databáze: | OpenAIRE |
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