Cross-pin femoral fixation versus metal interference screw fixation in anterior cruciate ligament reconstruction with hamstring tendons: Results of a controlled prospective randomized study with 2-year follow-up

Harilainen, Arsi; Sandelin, Jerker; Jansson, Kim

doi:10.1016/j.arthro.2004.09.013

Cited by 94 publications

(64 citation statements)

References 39 publications

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“…7,15,22,25,26,[29][30][31][32]34 Resistance exercises during postoperative rehabilitation predictably mitigate these deficits; however, a 10% decrease in muscle size and a 10% to 20% decrease in strength may persist years after surger y. 1,5,[7][8][9]12,19,22,25,28 Regaining quadriceps size and strength is clearly difficult following ACL-R and continues to be a rehabilitation challenge requiring novel interventions.…”

mentioning

confidence: 99%

Early Application of Negative Work via Eccentric Ergometry Following Anterior Cruciate Ligament Reconstruction: A Case Report

Gerber

Marcus

Dibble

et al. 2006

J Orthop Sports Phys Ther

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Study Design: Case report.Objectives: To present a progressively increasing negative-work exercise program via eccentric ergometry early after anterior cruciate ligament reconstruction (ACL-R) and to suggest the potential of negative work to amplify the return of quadriceps size and strength. Case Description: The patient was a 26-year-old highly active recreational athlete who sustained an ACL tear while skiing in January 2004 and then again while skiing in February 2005. This individual underwent an arthroscopically assisted ACL-R with a double-loop semitendinosusgracilis autograft initially, then a patellar tendon autograft following his ACL graft rupture. Beginning within 3 weeks after surgery, a progressive negative-work exercise program was initiated using an eccentric ergometer. The patient completed 31 training sessions of 5 to 30 minutes in duration over a 12-week period following the ACL-R and 33 training sessions of the same frequency and duration following the ACL revision. Outcomes: Following ACL-R, quadriceps volume increased 28% (involved lower extremity) and 14% (uninvolved lower extremity) during the 12-week training program. Following revision, quadriceps volume returned to similar levels at the same postoperative period as those achieved after the initial surgery (2% less on the involved side and 2% greater on the uninvolved side). Quadriceps strength, 15 weeks after ACL-R, exceeded preoperative measures by an average of 20% (involved) and 14% (uninvolved). Quadriceps strength after ACL revision exceeded all previous measures. Discussion: This case report suggests that if gradually and progressively applied, negative work via eccentric ergometry can be both safe and efficacious early after ACL-R. Eccentric exercise may mitigate the prevalent muscle size and strength deficits commonly observed after ACL-R. The results of this case suggest a need for continued research with early negative work interventions following ACL-R.

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mentioning

confidence: 99%

Early Application of Negative Work via Eccentric Ergometry Following Anterior Cruciate Ligament Reconstruction: A Case Report

Gerber

Marcus

Dibble

et al. 2006

J Orthop Sports Phys Ther

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“…27 Harilainen et al's study of ACL reconstruction with hamstring tendons, the arthrometry results and IKDC scores of cross-pin versus metal interference screw femoral fixation were compared at 1 or 2 year follow-up examinations, and no statistically significant difference was found between both groups. 28 There is no consensus on femoral fixation of the hamstring tendon in anterior cruciate ligament reconstruction. Both methods have advantages and disadvantages.…”

Section: Discussionmentioning

confidence: 99%

Clinical comparison of cross-pin and EndoButton for fixation of hamstring grafts

Bulut

Gürger²

2012

J Clin Exp Invest

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ÖZETAmaç: Hamstring tendonları kullanılarak yapılan ön çap-raz bağ (ÖÇB) rekonstrüksiyonlarında EndoButton ve cross-pin femoral tespit yöntemlerinin klinik sonuçlarının karşılaştırılması. Hastalar ve yöntem:Kliniğimizde Ocak 2006 -Aralık 2009 tarihleri arasında ÖÇB rüptürü nedeniyle opere edilen hastalar geriye dönük olarak incelendi. Hastaların 50 tanesine cross-pin, 50 tanesine ise EndoButton yöntemi kullanılarak, otojen hamstring tendon grefti ile artroskopik ön çapraz bağ rekonstrüksiyonu yapılmıştı. Her iki grupta hastaların ameliyat öncesi ve sonrası klinik değerlendir-mesi uluslararası diz dökümantasyon sistemi (IKDC) ve Lysholm II skorlama sistemine göre yapıldı. Sonuçlar:Ameliyat sonrası cross-pin grubunda IKDC skorlama sistemine göre hastaların, %52'sinde A, %40'ında B, %8'inde C skoru bulundu. EndoButton grubunda hastaların %48'inde A, %42'sinde B, %10'unda C skoru bulundu. Ameliyat sonrası cross-pin grubunda Lysholm II skorlama sistemine göre hastaların %48'inde mükemmel, %44'ünde iyi ve %8'inde orta sonuç bulundu. EndoButton grubunda hastaların %50'sinde mükemmel, %44'ünde iyi, %6'sında orta sonuç bulundu. Gruplar arasında ek hastalık, IKDC ve Lysholm II skorları ve komplikasyonlar açısından fark yoktu. EndoButton grubunda ortalama ameliyat süresi daha kısaydı. Sonuç:Her iki femoral tespit tekniğinin, klinik sonuçları arasında istatistiksel olarak anlamlı fark bulunmadı. Ameliyat süresinin daha kısa, öğrenme eğrisinin daha kolay oluşu ÖÇB rekonstrüksiyonunda EndoButton tekniğinin avantajlarıdır.Anahtar kelimeler: Ön çapraz bağ, hamstring tendon grefti, femoral tespit ABSTRACT Objectives: A comparison of the clinical outcomes of EndoButton and cross-pin femoral fixation techniques in anterior cruciate ligament (ACL) reconstruction using hamstring tendons. Materials and methods:In our clinic, between January 2006 and December 2009 patients who underwent surgery due to ACL rupture were retrospectively reviewed. Of the patients, 50 underwent arthroscopic anterior cruciate ligament reconstruction with an autogenous hamstring tendon graft using the cross-pin technique, and the remaining 50 patients underwent arthroscopic anterior cruciate ligament reconstruction with the EndoButton technique. Preoperative and postoperative clinical evaluation of the patients in both groups was performed according to the International Knee Documentation Committee (IKDC) and Lysholm II knee scoring systems. Results:In the cross-pin group, 52% of the patients had IKDC scores of A, 40% B and 8% C in the last control. In the EndoButton group, 48% of the patients had IKDC scores of A, 42% B and 10% C. Postoperatively, 48% of the patients in the cross-pin group had excellent, 44% good and 8% fair Lysholm scores. Fifty percent of the patients in the EndoButton group had excellent, 44% good and 6% fair Lysholm scores. There was no difference between the groups in additional diseases, IKDC and Lysholm scores and complications. The mean operative time was shorter in the EndoButton group. Conclusions

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“…Os estudos que analisam a influência da utilização de diferentes tipos de enxerto (1) , técni-cas de fixação do enxerto (2) , protocolos de reabilitação (3) , diferenças entre sexo (4) no desempenho muscular e funcional em indivíduos submetidos a intervenção cirúrgica fornecem dados confiáveis que subsidiam a elaboração de protocolos de reabilitação por clínicos da área.…”

Section: Introductionunclassified

Confiabilidade e validade de um dinamômetro isométrico modificado na avaliação do desempenho muscular em indivíduos com reconstrução do ligamento cruzado anterior

Vasconcelos¹,

Bevilaqua-Grossi²,

Shimano³

et al. 2009

Rev. bras. ortop.

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RESUMOObjetivo: Analisar a confiabilidade e validade de um dinamô-metro isométrico modificado (DIM) na avaliação dos déficits no desempenho muscular dos extensores e flexores do joelho em indivíduos normais e com reconstrução do LCA. Métodos: Foram convidados 60 voluntários do sexo masculino a participar do estudo, divididos em três grupos de 20 indivíduos: grupo controle (GC), grupo com reconstrução do LCA com tendão patelar (GTP) e grupo com reconstrução do LCA com tendões flexores (GTF). Todos os indivíduos realizaram teste isométrico dos extensores e flexores do joelho no DIM; os déficits de força muscular coletados foram comparados posteriormente com os testes realizados no Biodex System 3 operando no modo isométrico e isocinético nas velocidades de 60º/s e 180 o /s. Foram realizados cálculos de correlação intraclasse ICC para avaliar a confiabilidade do DIM, cálculos da especificidade, sensibilidade e coeficiente de concordância Kappa, respectivamente, para avaliar a validade do DIM em detectar déficits musculares e comparações intragrupos e intergrupos na realização dos quatro testes de força utilizando-se do método ANOVA. Resultados: O DIM demonstrou excelente confiabilidade teste-reteste e validade na aBSTRaCT Objectives: The aim of this study was to evaluate the reliability and validity of a modified isometric dynamometer (MID) in performance deficits of the knee extensor and flexor muscles in normal individuals and in those with ACL reconstructions. Methods: Sixty male subjects were invited to participate of the study, being divided into three groups with 20 subjects each: control group (GC), group of individuals with ACL reconstruction with patellar tendon graft (GTP, and group of individuals with ACL reconstruction with hamstrings graft (GTF). All individuals performed isometric tests in the MID

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Cross-pin femoral fixation versus metal interference screw fixation in anterior cruciate ligament reconstruction with hamstring tendons: Results of a controlled prospective randomized study with 2-year follow-up

Cited by 94 publications

References 39 publications

Early Application of Negative Work via Eccentric Ergometry Following Anterior Cruciate Ligament Reconstruction: A Case Report

Early Application of Negative Work via Eccentric Ergometry Following Anterior Cruciate Ligament Reconstruction: A Case Report

Clinical comparison of cross-pin and EndoButton for fixation of hamstring grafts

Confiabilidade e validade de um dinamômetro isométrico modificado na avaliação do desempenho muscular em indivíduos com reconstrução do ligamento cruzado anterior

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