Is Aperture Fixation Superior to Cortical Fixation for Quadruple Hamstring Graft in Anterior Cruciate Ligament Reconstruction?
Journal Title: National Journal of Clinical Orthopaedics - Year 2018, Vol 2, Issue 1
Abstract
Introduction: ACL is a commonly injured ligament of the knee. The incidence is rising due to increased motor vehicle accident. To regain full activity, its proper reconstruction is essential. Different technique developed over time to fix the graft to femur and tibia. Our study has compared the result of two fixation technique i.e. aperture fixation and cortical fixation. Materials and Methods: In this prospective comparative study 60 patients were randomised into two groups. In group one (n=30) graft was fixe d using aperture fixation and in group 2 (n=30), using cortical fixation. All were followed at two, four, eight weeks and 6 months for evaluation by IKDC scoring, LYSHOLAM scoring, KT1000 arthrometer and measurement of tunnel widening. Results: Both IKDC score and LYSHOLM score were better in aperture fixation group as compared to cortical fixation group at 6 month followup. The anterior translation of tibia was measured using KT 1000 arthrometer at 6 months. In our study, preoperatively we found significant difference between affected and unaffected knee at each force. Postoperatively we found there is no difference in KT-1000 reading between knees at each follow up. Aperture fixation group was also associated with less tunnel widening post operatively. Conclusion: Aperture fixation method for ACL reconstruction provided a better LYSHOLAM, and IKDC score than cortical fixation. The tunnel widening at 6 months was less as compared to the cortical fixation group, as the anterior tibial translation. Thus, aperture fixation provides a strong and rigid fixation resulting in lesser chances of tunnel widening.
Authors and Affiliations
Anand M, Sharma BP, Kumar A
Keywords
Related Articles
- EP ID EP506373
- DOI -
- Views 73
- Downloads 0
Functional outcome of primary flap coverage and bony fixation of severe open fractures: A prospective observational study
Introduction: Improved understanding of open fracture pathology, techniques of fracture fixation, soft-tissue care, and antimicrobial treatment has resulted in a significant reduction of morbidity and mortality associate...
Minimally invasive plate osteosynthesis of peri-articular fractures of distal tibia: A clinical study
Objectives: Treatment of distal tibial fractures using minimally invasive plate osteosynthesis (MIPO) technique may minimise damage to soft tissues and the vascular integrity of bony fragments. This is a study to assess...
A prospective study of operative results of intra-articular fractures of proximal tibia
Introduction: Proximal tibial fracture is a common injury, with some of these fractures being caused by a strong impact such as a traffic accident and others being caused by the relatively weak impact of a fall in elderl...
Functional outcomes of different modalities of fixation in intra-articular calcaneus fractures
Background: Closed manipulation and percutaneous screw fixation, minimal sinus tarsi approach reduction and screw fixation, open reduction and plate fixation these all useful in management of intraarticular calcaneus fra...
Evaluation of results of micro endoscopic discectomy
Introduction: Discectomy is a common procedure carried out for treatment of lumbar disc prolapse. In lumbar disc surgery pain is the most important indication, but neurologic symptoms and signs are also considered, altho...