Press-fit Femoral Fixation in ACL Reconstruction using Bone-Patellar Tendon- Bone Graft
Year: 2009
Type: article
Study design: Clinical Trial
Abstract: - Bone-patellar tendon auto graft is probably the most widely used graft for ACL reconstruction. Several methods for graft fixation have been described. To avoid intra-articular hardware we adopt biological fixation with a femoral trapezoidal press-fit fixation. A prospective study was performed on 30 consecutive active people who underwent ACL reconstruction with this technique by two surgeons between septem-ber2004 and march2007 (mean follow-up 15.2 months). Results were evaluated by an independent examiner using radiography, subjective and objective evaluation. Assessment using the IKDC knee scoring revealed 92 % of the patients with a normal or nearly normal knee joint. Lysholm’s score was 63.6(40- 86) preopera-tively and 91.88(73-100) at the latest follow up (P < 0.005). No patient complained of instability at latest fol-low up. The quadriceps muscle showed mild atrophy at 3 and 6 months and at final follow-up. Five Patients complained of anterior knee pain and had a positive kneeling test. We found no graft displacement on follow up radiographs. All cases showed radiological evidence of graft osteointegration at last follow up. Our results show that press-fit fixation of trapezoidal bone graft in femoral tunnel is a simple, reliable, and cost-effective alternative for ACL reconstruction using bone-patellar tendon-bone graft.
Authors: Mohammad Hasan Kaseb, Amir Reza Sadeghifar, Seyed Mohammad, Javad Mortazavi
Institution: Tehran University of Medical Sciences
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W2245610471