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Knee Surgery, Sports Traumatology, Arthroscopy

Published in:

01-07-2012 | Knee

Clinical comparison of two suspensory fixation devices for anatomic double-bundle anterior cruciate ligament reconstruction

Authors: Eiji Kondo, Kazunori Yasuda, Shin Miyatake, Nobuto Kitamura, Harukazu Tohyama, Tomonori Yagi

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 7/2012

Abstract

Purpose

The aim of this study was to compare the operation time required and the clinical outcome 2 years postoperatively, after anatomic double-bundle ACL reconstructions using hamstring tendon grafts fixed with either the EndoButton-CL-BTB^® (ECL-BTB) or the EndoButton-CL^® (ECL).

Methods

Forty-six patients, who underwent anatomic double-bundle ACL reconstruction, were non-randomly divided into 2 groups. Patients with a combined ligament injury or complete meniscal tear were excluded from this study. In group I, an ECL was used with 23 patients. In group II, an ECL-BTB was used with the remaining 23 patients. In groups I and II, the ECL or ECL-BTB was attached to the femoral ends of the hamstring tendon autografts. In both groups, a polyester tape was connected in series with the tibial ends of the grafts. The patients were examined with standard clinical evaluations at 2 years after surgery.

Results

The operation time in group II was significantly shorter than that in group I (P = 0.0459). Concerning the intra- and postoperative complications, there were no serious complications in either group. No significant differences were found between the 2 groups in terms of knee laxity measurements, the peak muscle torque of quadriceps and hamstrings, the Lysholm score and the IKDC evaluation.

Conclusions

This study demonstrated that the usage of the ECL-BTB for graft preparation significantly shortens the total operation time in comparison with the ECL and that there were no significant differences in the 2-year clinical outcome and the intra- and postoperative complications between the 2 graft preparation procedures of the anatomic double-bundle ACL reconstruction. The ECL-BTB can be an alternative device for the hamstring tendon graft in double-bundle ACL reconstruction.

Level of evidence

Prospective comparative cohort study, Level II.

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Title: Clinical comparison of two suspensory fixation devices for anatomic double-bundle anterior cruciate ligament reconstruction
Authors: Eiji Kondo
Kazunori Yasuda
Shin Miyatake
Nobuto Kitamura
Harukazu Tohyama
Tomonori Yagi
Publication date: 01-07-2012
Publisher: Springer-Verlag
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 7/2012
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-011-1687-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Clinical comparison of two suspensory fixation devices for anatomic double-bundle anterior cruciate ligament reconstruction

Abstract

Purpose

Methods

Results

Conclusions

Level of evidence

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

Level of evidence

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