Improved outcomes after anterior cruciate ligament reconstruction with quadrupled hamstring autografts and additional bone plug augmentation at five year follow-up.

International Orthopaedics
Sven NebelungWolfgang Nebelung

Abstract

Hybrid fixation has been proposed to improve outcomes of anterior cruciate ligament (ACL) reconstructions. This study evaluated midterm outcomes after transfemoral graft fixation using either a conventional or a modified technique using additional bone plug augmentation (BPA) of the femoral tunnel aperture. Seventy-one consecutive patients undergoing ACL reconstruction using a quadrupled hamstring autograft with transfemoral graft fixation and tibial interference screw fixation were included. Of these, 56 patients could be followed up 61 months (range 52-69 months) after ACL reconstruction both clinically and by magnetic resonance imaging (group A, conventional technique, n = 34; group B, modified technique, n = 22). Anteroposterior (AP) laxity measurements and International Knee Documentation Committee (IKDC), Lysholm and Tegner activity scoring were performed, while imaging included assessment of bone tunnel diameters, graft condition and graft filling at the femoral bone tunnel aperture. Patients with additional BPA had a significantly higher degree of graft filling at the femoral bone tunnel aperture (p = .0135) and 'healthier' grafts (p = .0495). They also tended to display less AP laxity difference in terms of mean differ...Continue Reading

References

Mar 1, 1986·The American Journal of Sports Medicine·Y TegnerJ Gillquist
May 1, 1982·The American Journal of Sports Medicine·J Lysholm, J Gillquist
May 30, 1998·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·J J IrrgangF H Fu
Dec 16, 1998·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·W NebelungM Röpke
Jun 4, 1999·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·J T ToM L Hull
Jul 13, 1999·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·M G ClatworthyR J Bartlett
Oct 12, 2000·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·P T SimonianJ W O'kane
Feb 7, 2002·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Andreas WeilerNorbert P Südkamp
May 2, 2003·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Jason P KleinKimberly Vavrenka
Feb 24, 2004·The American Journal of Sports Medicine·Timothy C WilsonDarren L Johnson
Oct 18, 2005·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Michael E HantesSokratis E Varitimidis
Jun 10, 2006·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Giuseppe MilanoCarlo Fabbriciani
Aug 15, 2006·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Akio MatsumotoDavid Liu-Barba
Oct 10, 2006·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Anikar ChhabraChristopher D Harner
May 16, 2007·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Mehmet AsikOmer F Taser
Nov 29, 2008·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Mario OrregoRodrigo Mardones
Feb 11, 2012·International Orthopaedics·Rodrigo Kancelskis PradoDavid Dejour

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Citations

Sep 14, 2017·The American Journal of Sports Medicine·Jarred M KaiserDarryl G Thelen

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