Tags

Type your tag names separated by a space and hit enter

Can an adjustable-loop length suspensory fixation device reduce femoral tunnel enlargement in anterior cruciate ligament reconstruction? A prospective computer tomography study.
Knee. 2016 Oct; 23(5):837-41.KNEE

Abstract

BACKGROUND

The aim of this study was to compare bone femoral tunnel enlargement in patients who underwent anterior cruciate ligament (ACL) transtibial reconstruction using an adjustable-loop length suspensory fixation device and a fixed-loop length suspensory fixation device.

METHODS

All patients treated for ACL reconstruction with an ipsilateral hamstring between March 2013 and March 2014 were evaluated. Subjects were assigned to Group A (TightRope™ (TR) femoral fixation) or Group B (EndoButton® (EB) femoral fixation). All patients were evaluated with the Lachman test, pivot-shift test, 2000 International Knee Documentation Committee (IKDC) knee examination and KT1000 arthrometer. The subjective evaluation was performed using the 2000 IKDC Subjective Knee score, the Lysholm knee score, and the Tegner activity scale. CT examination was performed to evaluate femoral tunnel enlargement at four different levels. All patients were assessed at a 12month follow-up visit. Power analysis was performed a priori in accordance with the femoral tunnel enlargement values from the CT scans. Differences with P-values of ≤0.05 were considered to be statistically significant.

RESULTS

The groups were homogenous at baseline with regard to age, gender, BMI, dominance and disease duration. At the final follow-up, no statistically significant differences (P>0.05) were found according to subjective and objective clinical outcome measures. According to the femoral tunnel enlargement, no statistically significant difference was found between the two groups (P>0.05).

CONCLUSION

In transtibial ACL reconstruction, the use of a fixed or adjustable-loop length device products, on the femoral side, led to similar clinical and radiological results.

Authors+Show Affiliations

Orthopaedic Unit and "Kirk Kilgour" Sports Injury Centre, S. Andrea Hospital, University of Rome "La Sapienza", Italy, Via di Grottarossa 1035, 00189 Rome, Italy. Electronic address: riccardolanzetti@gmail.com.Orthopaedic Unit and "Kirk Kilgour" Sports Injury Centre, S. Andrea Hospital, University of Rome "La Sapienza", Italy, Via di Grottarossa 1035, 00189 Rome, Italy.Orthopaedic Unit and "Kirk Kilgour" Sports Injury Centre, S. Andrea Hospital, University of Rome "La Sapienza", Italy, Via di Grottarossa 1035, 00189 Rome, Italy.Villa Valeria Clinic, Rome, Italy.Orthopaedic Unit and "Kirk Kilgour" Sports Injury Centre, S. Andrea Hospital, University of Rome "La Sapienza", Italy, Via di Grottarossa 1035, 00189 Rome, Italy.Orthopaedic Unit and "Kirk Kilgour" Sports Injury Centre, S. Andrea Hospital, University of Rome "La Sapienza", Italy, Via di Grottarossa 1035, 00189 Rome, Italy.Diagnostic Imaging Unit, S. Andrea Hospital, University of Rome "La Sapienza", Italy, Via di Grottarossa 1035, 00189 Rome, Italy.Orthopaedic Unit and "Kirk Kilgour" Sports Injury Centre, S. Andrea Hospital, University of Rome "La Sapienza", Italy, Via di Grottarossa 1035, 00189 Rome, Italy.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27338510

Citation

Lanzetti, R M., et al. "Can an Adjustable-loop Length Suspensory Fixation Device Reduce Femoral Tunnel Enlargement in Anterior Cruciate Ligament Reconstruction? a Prospective Computer Tomography Study." The Knee, vol. 23, no. 5, 2016, pp. 837-41.
Lanzetti RM, Monaco E, De Carli A, et al. Can an adjustable-loop length suspensory fixation device reduce femoral tunnel enlargement in anterior cruciate ligament reconstruction? A prospective computer tomography study. Knee. 2016;23(5):837-41.
Lanzetti, R. M., Monaco, E., De Carli, A., Grasso, A., Ciompi, A., Sigillo, R., Argento, G., & Ferretti, A. (2016). Can an adjustable-loop length suspensory fixation device reduce femoral tunnel enlargement in anterior cruciate ligament reconstruction? A prospective computer tomography study. The Knee, 23(5), 837-41. https://doi.org/10.1016/j.knee.2016.01.015
Lanzetti RM, et al. Can an Adjustable-loop Length Suspensory Fixation Device Reduce Femoral Tunnel Enlargement in Anterior Cruciate Ligament Reconstruction? a Prospective Computer Tomography Study. Knee. 2016;23(5):837-41. PubMed PMID: 27338510.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Can an adjustable-loop length suspensory fixation device reduce femoral tunnel enlargement in anterior cruciate ligament reconstruction? A prospective computer tomography study. AU - Lanzetti,R M, AU - Monaco,E, AU - De Carli,A, AU - Grasso,A, AU - Ciompi,A, AU - Sigillo,R, AU - Argento,G, AU - Ferretti,A, Y1 - 2016/06/20/ PY - 2015/09/06/received PY - 2015/12/11/revised PY - 2016/01/13/accepted PY - 2016/6/25/entrez PY - 2016/6/25/pubmed PY - 2017/9/22/medline KW - ACL KW - Femoral tunnel KW - Suspensory fixation device KW - Tunnel widening SP - 837 EP - 41 JF - The Knee JO - Knee VL - 23 IS - 5 N2 - BACKGROUND: The aim of this study was to compare bone femoral tunnel enlargement in patients who underwent anterior cruciate ligament (ACL) transtibial reconstruction using an adjustable-loop length suspensory fixation device and a fixed-loop length suspensory fixation device. METHODS: All patients treated for ACL reconstruction with an ipsilateral hamstring between March 2013 and March 2014 were evaluated. Subjects were assigned to Group A (TightRope™ (TR) femoral fixation) or Group B (EndoButton® (EB) femoral fixation). All patients were evaluated with the Lachman test, pivot-shift test, 2000 International Knee Documentation Committee (IKDC) knee examination and KT1000 arthrometer. The subjective evaluation was performed using the 2000 IKDC Subjective Knee score, the Lysholm knee score, and the Tegner activity scale. CT examination was performed to evaluate femoral tunnel enlargement at four different levels. All patients were assessed at a 12month follow-up visit. Power analysis was performed a priori in accordance with the femoral tunnel enlargement values from the CT scans. Differences with P-values of ≤0.05 were considered to be statistically significant. RESULTS: The groups were homogenous at baseline with regard to age, gender, BMI, dominance and disease duration. At the final follow-up, no statistically significant differences (P>0.05) were found according to subjective and objective clinical outcome measures. According to the femoral tunnel enlargement, no statistically significant difference was found between the two groups (P>0.05). CONCLUSION: In transtibial ACL reconstruction, the use of a fixed or adjustable-loop length device products, on the femoral side, led to similar clinical and radiological results. SN - 1873-5800 UR - https://www.unboundmedicine.com/medline/citation/27338510/Can_an_adjustable_loop_length_suspensory_fixation_device_reduce_femoral_tunnel_enlargement_in_anterior_cruciate_ligament_reconstruction_A_prospective_computer_tomography_study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0968-0160(16)00016-8 DB - PRIME DP - Unbound Medicine ER -