Femoral interference screw fixation of hamstring and quadriceps tendons for ACL reconstruction

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
M EttingerMaximilian Petri

Abstract

This cadaveric study compares the biomechanical properties of femoral graft fixation in ACL reconstruction of either quadriceps or hamstring tendon grafts with four different interference screws. The hypothesis was that quadriceps tendon grafts provide at least equal results concerning gap formation during cyclic loading and ultimate failure load compared to hamstring tendon grafts with four different interference screws. Eighty porcine femora underwent interference screw fixation of human tendon grafts for ACL reconstruction. Either quadriceps (Q) or hamstring (H) tendon grafts and four different bioabsorbable interference (Wolf (W), Storz (S), Mitek (M), Arthrex (A)) screws were used, resulting in 8 groups with 10 specimens per groups (WQ, WH, SQ, SH, MQ, MH, AQ, AH). Biomechanical analysis included pretensioning the constructs with 60 N for 30 s, then cyclic loading of 500 cycles between 60 and 250 N at 1 Hz in a servohydraulic testing machine, with measurement of elongation and stiffness including video measurements. After this, ultimate failure load and failure mode analysis were performed. No statistically significant difference could be noted between the groups regarding gap formation during cyclic loading [Cycles 21-500...Continue Reading

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Citations

Feb 16, 2018·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Ziying WuYinghui Hua
Oct 29, 2018·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·J GlasbrennerMirco Herbort
Oct 1, 2018·Journal of Experimental Orthopaedics·M EttingerUNKNOWN ESSKA under 45-committee (2016-2018)
May 4, 2020·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Yilun WangHui Li

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