ARTHROSCOPIC ACL RECONSTRUCTION USING HAMSTRING TENDON AUTOGRAFT FIXED WITH ENDOBUTTON CL® AND BIORCI- HA® INTERFERENCE SCREW
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2015, Vol 4, Issue 47
Abstract
[b] INTRODUCTION:[/b] Arthroscopic ACL reconstruction has become the gold standard for ACL insufficiency in active patients. Hamstring tendon is the most favoured graft choice for ACL reconstruction. The aim of this study is to prospectively evaluate the clinical and radiological results (tunnel widening) of a series of 120 patients who underwent Arthroscopic ACL reconstruction using hamstring tendons fixed with Endobutton CL® on femur and Bio RCI-HA® interference screw on the tibial end, with a follow-up of 2 years. [b]MATERIALS & METHODS[/b]: One hundred and twenty patients with ACL insufficiency were operated upon Arthroscopic ACL reconstruction using hamstring tendon autograft fixed with Endobutton CL® and BioRCI-HA® interference screw between January 2012 to April 2013 at Chettinad Academy of Research and Education, Chennai were included in the study. All the patients were assessed clinically (IKDC) and radiologically at 6 months, 1 year and 2 years followup in this study. [b]RESULT[/b]: At the final follow up of 2 years, according to IKDC classification 98(83%) patients were in normal group and 16 (13.6%) patients in nearly normal group and 4(3.4%) patients in abnormal group. All the patients had an increase in tunnel width of 0.5mm at 6 months follow up.26(21.6%) patients had femoral tunnel widening between 0.5 to 2mm (Mean-1.2mm) and 8(6.6%) patients with the tunnel width of 2mm and 4mm (Mean 2.2mm) at one year follow-up. At 2 years follow up there were 38(31.6%) patients had a tunnel width of 0.5mm and 2mm (Mean-1.4mm) and 16s (13.3%) patients with the femoral tunnel widening between 2 and 4mm (Mean 2.6mm). [b]CONCLUSION:[/b] Arthroscopic anatomical ACL reconstruction has been the treatment of choice for ACL tear and hamstring tendon is the graft choice for ACL reconstruction. It is necessary to provide sufficient mechanical stability for the graft to obtain good clinical outcome. Endobutton CL® on the femoral side and BioRCI-HA® on the tibial end is proven to be the best fixation device for ACL reconstruction which is reliable and strong fixation devices currently.
Authors and Affiliations
Saravanan P. , Dobson Dominic
Keywords
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- EP ID EP133095
- DOI 10.14260/jemds/2015/1186
- Views 86
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