COMPARISON OF TWO FIXATION TECHNIQUES FOR BONE-PATELLA TENDON-BONE GRAFT IN ARTERIAL CRUCIATE LIGAMENT REPAIR

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SARZAEEM MOHAMMAD MAHDI; RAZI MOHAMMAD; NAJAFI FARIDEH; NAJAFI MOHAMMAD AMIN

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Paper Information

Journal: IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY Year:2013 | Volume:11 | Issue:4 (45) Page(s): 136-143

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Title

COMPARISON OF TWO FIXATION TECHNIQUES FOR BONE-PATELLA TENDON-BONE GRAFT IN ARTERIAL CRUCIATE LIGAMENT REPAIR

Author(s)

SARZAEEM MOHAMMAD MAHDI | RAZI MOHAMMAD | NAJAFI FARIDEH | NAJAFI MOHAMMAD AMIN | Issue Writer Certificate

Keywords

ANTERIOR CRUCIATE LIGAMENTQ2

KNEEQ2

RECONSTRUCTIONQ2

BONEQ2

PATELLAR TENDONQ2

BONE GRAFTQ1

TREATMENT OUTCOMEQ2

Abstract

Background: The gold standard in ACL RECONSTRUCTIONs has been the BONE-patellar tendon-bone autograftfixed with interference screws. This prospective study, aimed to compare two method of fixation for BPTB grafts: press fit fixation vs. interference screw, over a 12 months follow-up interval.Methods: In a randomized clinical trial study, 158 patients with an average age of 29.8 years were treated for torn ACL with BPTB autograft in a teaching hospital in Tehran, Iran. In 82 patients press fit fixation technique, and in 76 cases an interference-screw was used. At the time of final follow-up, 71 patients in press-fit group and 65 patients in interference-screw group were evaluated in terms of return to pre-injury activity level, pain, KNEE stability, range of motion, IKDC score and complications.Results: In the final follow-up, 59 cases in interference screw and 55 in press-fit screw group had good-to-excellent IKDC score (p³.05). The mean laxity assessed improved to 2.7 mm and 2.5 mm in press-fit and screw group, respectively. Regarding Lachman and pivot shift tests, there was a statistically significant improvement in the integrity of the ACL in both groups, with no significant difference (p³.05).Conclusions: the press-fit technique is an efficient procedure. Its outcome was comparable with the interference screw group. Furthermore it has unlimited BONE-to-bone healing, no need for removal of hardware, ease for revision and cost effectiveness.

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APA: Copy

SARZAEEM, MOHAMMAD MAHDI, RAZI, MOHAMMAD, NAJAFI, FARIDEH, & NAJAFI, MOHAMMAD AMIN. (2013). COMPARISON OF TWO FIXATION TECHNIQUES FOR BONE-PATELLA TENDON-BONE GRAFT IN ARTERIAL CRUCIATE LIGAMENT REPAIR. IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY, 11(4 (45)), 136-143. SID. https://sid.ir/paper/85507/en

Vancouver: Copy

SARZAEEM MOHAMMAD MAHDI, RAZI MOHAMMAD, NAJAFI FARIDEH, NAJAFI MOHAMMAD AMIN. COMPARISON OF TWO FIXATION TECHNIQUES FOR BONE-PATELLA TENDON-BONE GRAFT IN ARTERIAL CRUCIATE LIGAMENT REPAIR. IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY[Internet]. 2013;11(4 (45)):136-143. Available from: https://sid.ir/paper/85507/en

IEEE: Copy

MOHAMMAD MAHDI SARZAEEM, MOHAMMAD RAZI, FARIDEH NAJAFI, and MOHAMMAD AMIN NAJAFI, “COMPARISON OF TWO FIXATION TECHNIQUES FOR BONE-PATELLA TENDON-BONE GRAFT IN ARTERIAL CRUCIATE LIGAMENT REPAIR,” IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY, vol. 11, no. 4 (45), pp. 136–143, 2013, [Online]. Available: https://sid.ir/paper/85507/en

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