Intratunnel versus extratunnel fixation of hamstring autograft for anterior cruciate ligament reconstruction

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
Dave Lee Yee HanDavid N M Caborn

Abstract

To determine which is more effective: intratunnel or extratunnel anterior cruciate ligament soft-tissue graft fixation. A secondary purpose was to determine whether groups displayed differing relations between objective International Knee Documentation Committee (IKDC) grade and the timing of full weight bearing (FWB), jogging/running, and return to sports. The study hypotheses were that intratunnel fixation would display a greater percentage of normal or nearly normal objective IKDC grades and enable earlier FWB, return to jogging/running, and return to sports. We performed a systematic review of prospective, Studies with Level I or II evidence published from 2000 to 2011 with at least 2 years' follow-up that used interference screw hamstring autograft fixation (intratunnel group) or button, staple, or post hamstring autograft fixation (extratunnel group) for primary anterior cruciate ligament reconstruction. We also compared IKDC grades; Tegner and Lysholm scores; instrumented anterior laxity and pivot-shift test findings; timing of FWB, jogging/running, and return to sports; and modified Coleman Methodology Scores. The groups showed comparable modified Coleman Methodology Scores, objective IKDC grades, Lysholm and Tegner sco...Continue Reading

References

May 1, 1990·The American Journal of Sports Medicine·K D Shelbourne, P Nitz
May 1, 1994·The American Journal of Sports Medicine·D Kohn, C Rose
Jan 1, 1993·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·F HeftiH U Stäubli
Jan 1, 1997·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·J C L'InsalataC D Harner
May 20, 1998·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·D N CabornD L Johnson
Mar 27, 2002·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·J-U BuelowA Ellermann
Feb 5, 2004·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·C Benjamin MaChristopher H Harner
Feb 10, 2004·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·M W J MorrisJ N Brown
Apr 20, 2004·The American Journal of Sports Medicine·Christopher S AhmadWilliam N Levine
Jan 15, 2005·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Arsi HarilainenKim A Jansson
Aug 9, 2005·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Jeff C BrandDarren L Johnson
Oct 6, 2005·The Journal of Bone and Joint Surgery. American Volume·Rune B JakobsenJames R Slauterbeck
Dec 6, 2005·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Peter Fauno, Søren Kaalund
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
Jan 11, 2007·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Thore ZantopWolf Petersen
Oct 9, 2007·Clinics in Sports Medicine·Neal C ChenCharles H Brown
Sep 29, 2009·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Robert A MagnussenLars Engebretsen
Nov 10, 2009·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Martin LindKate E Webster
Oct 5, 2010·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Chealon D MillerMark D Miller
May 24, 2011·Journal of Biomechanical Engineering·Ali HosseiniGuoan Li

❮ Previous
Next ❯

Citations

Jul 30, 2014·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Maristella F SaccomannoBernard R Bach
Nov 21, 2014·Journal of Orthopaedic Surgery and Research·Luiz Gabriel Betoni GuglielmettiPatrícia de Moraes Barros Fucs
May 13, 2014·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Henri RobertThierry De Polignac
Nov 23, 2016·Orthopedics·Brent T WiseSameh A Labib
Apr 6, 2016·Orthopaedic Journal of Sports Medicine·Michael J AndersonLeslie J Bisson
Feb 19, 2017·Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology·Luiz Gabriel Betoni GuglielmettiRicardo de Paula Leite Cury
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
Jun 15, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Pierre LaumonerieFranck Accadbled

❮ Previous
Next ❯

Related Concepts

Related Feeds

Allogenic & Autologous Therapies

Allogenic therapies are generated in large batches from unrelated donor tissues such as bone marrow. In contrast, autologous therapies are manufactures as a single lot from the patient being treated. Here is the latest research on allogenic and autologous therapies.