A COMPARISON OF FUNCTIONAL OUTCOME BETWEEN TITANIUM INTERFERENCE SCREW AND ON LOOP-ENDOBUTTON FIXATION ON FEMUR IN ARTHROSCOPIC ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 51
Abstract
BACKGROUND Arthroscopic Anterior Cruciate Ligament [ACL] reconstruction is very commonly done procedure in recent times.{1} Graft fixation methods vary from aperture fixation [Interference Screws] to suspensory fixation methods [Endobutton]. This is a Prospective non-randomised clinical study of arthroscopic ACL reconstruction comparing the functional results between fixation on femoral side with On Loop Endobutton and Fixation with Titanium Interference screw. MATERIALS AND METHODS Two groups of 10 patients who underwent autogenous hamstring ACL reconstruction with a minimum of 1 year follow up evaluation were included in the study. The aperture fixation group underwent Titanium interference screw fixation at both femoral and tibial tunnels. The suspensory fixation group underwent On Loop Endobutton fixation on the femoral side and Titanium interference screw on tibial side. Both group patients were examined prior to surgery and at 3 months, 6 months and 1 year. They were compared for functional outcome with Tegner Lysholm knee score. RESULTS There was significant improvement in functional outcome in both the groups between 0 and at 3 months, 3 months and 6 months, but from 6 months to 1 year. Group 2 has better statistically significant functional outcome. CONCLUSION In our prospective study of comparison of functional outcomes between aperture fixation and suspensory fixation on femur in arthroscopic ACL reconstruction which were evaluated by using Tegner Lysholm knee score over a period of 1 year, suspensory fixation was found to be better. However, further long-term studies involving large series of cases would throw more light on this information.
Authors and Affiliations
Md. Qamar Abdul Azeez, Gudla Siva Prasad
Keywords
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- EP ID EP550480
- DOI 10.14260/jemds/2018/1211
- Views 101
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