Fixation of patellar tendon bone graft in reconstruction of patellar ligaments. Comparison of bioabsorbable and metal interference screws - results of treatment.
Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2008, Vol 10, Issue 1
Abstract
Abstract Background. The central third of the patella tendon is probably the most common ACL graft material because the bone tendon bone (BTB) construct provides robust graft incorporation and a mechanically sufficient substitute. Metal and bioabsorbable interference screws ensure good initial fixation strength of the bone plug. Material and methods. A total of 78 patients (mean age 29 years) were assigned to a bioabsorbable screw [L-15 Lactosorb®] group (Group I of 34 patrients) or a metal screw group (Group II of 44 patients). Mean follow-up was 3 years.This study compared the results of ACL reconstruction using bioabsorbable and metal interference screws. Pre- and postoperative assessments included patient history, the Lysholm Knee Scoring Scale and IKDC scores. Range of motion in the knee was measured. Magnetic resonance imaging was performed in 12 patients from each grup.ResultsMean Lysholm scores at one year were 94.2 for Group I and 93.5 for Group II. After 3 years mean scores were 95.4 for Group I and 96.2 for Group II. A comparison of IKDC scores showed no statistically significant difference between groups. No radiographic evidence of osteolytic change or bone resorbtion around the metal screw was observed in Group II, whereas osteolytic changes around bioscrews were observed in 2 patients in Group I. There were no complications related to loss of fixation. The clinical signs of a foreign body reaction were found in one patient. Conclusions.Bioabsorbale and metal inteference screws produce equal clinical results. Complete degradation of a bioabsorbable screw takes 2-3 years.
Authors and Affiliations
Janusz Płomiński, Konrad Borcz, Krzysztof Kwiatkowski, M. Żabicka
Keywords
Related Articles
- EP ID EP56789
- DOI -
- Views 114
- Downloads 0
Ultrasound therapy in the treatment of calcar pedis – own experiences
Background. There is no agreement among investigators regarding the optimal doses of ultrasound in the treatment of calcar pedis. The aim of our study was to compare the effects of varying ultrasound dosages in 2 groups...
Diagnosis of Legg-Calvé-Perthes disease
Despite the use in recent years of sophisticated imaging methods, the diagnosis of Legg-Calvé-Perthes disease is predominantly based on clinical examination, standard x-rays in two planes, and ultrasonography. W...
Assessment of Ilizarov's method in intraarticular calcaneal fractures
Background. Hindfoot dysfunction after intrarticular fracture of calcaneus are evokated by disturbances of muscle balance caused by change of bone shape and disturbances of talo-calcanear join function caused by secondar...
Ciężka kifoskolioza piersiowo-lędźwiowa z towarzyszącą osteoporozą u rodzeństwa - studium przypadku
W niektórych chorobach układowych częstość występowania skoliozy jest znacznie wyższa niż w całej populacji. Dodatkowo skoliozy te pojawiają się wcześnie, przed 5 rokiem życia i osiągają niejednokrotnie znaczne rozmiary....
Current methods for monitoring the treatment <br /> of osteoporosis: increased bone mineral density <br /> or reduced fracture risk?
Bone fractures are the most serious complication of osteoporosis. Fractures occurring in vertebrae or the proximal epiphysis of the femur directly increase the risk of mortality. As a result of the aging of our society a...