Paper #72 Tunnel widening after ACL reconstruction is dependent on type of fixation used. A prospective randomized study comparing two different fixation methods for hamstring grafts

2003 ◽  
Vol 19 (6) ◽  
pp. 37
Author(s):  
Peter Faunoe ◽  
Soeren Kaalund
Keyword(s):  
Acl Reconstruction ◽  
Randomized Study ◽  
Prospective Randomized Study ◽  
Tunnel Widening ◽  
Fixation Methods ◽  
Hamstring Grafts

scholarly journals Comparative study between aperture and suspensary fixation of hamstring autografts on femoral side in ACL reconstruction: clinical and radiological outcome assessment

2017 ◽  
Vol 3 (2) ◽  
pp. 298
Author(s):  
Manoj R. Kashid ◽  
Rahool S. ◽  
Amit Chaudhry ◽  
Rajshekhar . ◽  
Varunendra Bahadur Singh ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Acl Reconstruction ◽  
Femoral Condyle ◽  
Lysholm Score ◽  
Tunnel Widening ◽  
Knee Score ◽  
Hamstring Graft ◽  
Fixation Methods ◽  
Suspensory Fixation ◽  
Femoral Side

<p class="abstract"><strong>Background:</strong> Arthroscopically aided anterior cruciate ligament reconstruction using hamstring graft can be fixed to femoral condyle by suspensory and aperture fixation methods. The following study was undertaken to investigate whether there is any difference in functional outcomes with these fixation methods as measured by the Lysholm knee score and to determine tunnel widening post operatively with these two methods and does it affect the functional outcome.</p><p class="abstract"><strong>Methods:</strong> 50 patients of clinically and radiologic ally diagnosed ACL tear fulfilling the inclusion and exclusion criteria were randomized into two groups to undergo arthroscopic ACL reconstruction using quadrupled hamstring graft with  suspensory (n=25) and aperture (n=25) fixation methods on femoral side. They were compared post operatively with Lysholm score, clinical laxity tests and percentage of tunnel enlargement using computed tomograms at 01 year.<strong></strong></p><p class="abstract"><strong>Results:</strong> At the end of 6 months there was no much difference in Lysholm score between both the groups (P =0.663) and at the end of 01 year aperture group had slightly better outcome. However, the difference was not statistically significant (p =0.173). There was more tunnel widening in the suspensory group especially of the femoral tunnel in the coronal plane. However, the amount of tunnel widening in both the groups was not significant statistically (P =0.071 and P =0.963). Tunnel widening is not associated with inferior clinical outcomes or functional knee score.</p><p><strong>Conclusions:</strong> Aperture and Suspensory fixation methods of hamstring graft at femoral condyle in ACL reconstruction are comparable clinically and there is no advantage of one particular method over other. Although comparatively more tunnel widening is seen in suspensory fixation methods; it does not affect the final clinical outcomes or functional knee scores. </p>

Single-bundle patellar tendon versus non-anatomical double-bundle hamstrings ACL reconstruction: a prospective randomized study at 8-year minimum follow-up

2010 ◽  
Vol 19 (3) ◽  
pp. 390-397 ◽  
Author(s):  
Stefano Zaffagnini ◽  
Danilo Bruni ◽  
Giulio Maria Marcheggiani Muccioli ◽  
Tommaso Bonanzinga ◽  
Nicola Lopomo ◽  
...  
Keyword(s):  
Acl Reconstruction ◽  
Patellar Tendon ◽  
Randomized Study ◽  
Double Bundle ◽  
Prospective Randomized Study ◽  
Single Bundle

Post-operative bracing after ACL reconstruction has no effect on knee joint effusion. A prospective, randomized study

The Knee ◽  
2015 ◽  
Vol 22 (6) ◽  
pp. 559-564 ◽  
Author(s):  
Maria Lindström ◽  
Torsten Wredmark ◽  
Marie-Louise Wretling ◽  
Marketta Henriksson ◽  
Li Felländer-Tsai
Keyword(s):  
Knee Joint ◽  
Acl Reconstruction ◽  
Randomized Study ◽  
Joint Effusion ◽  
Prospective Randomized Study

scholarly journals Comparison of hamstring and patellar tendon grafts in anterior cruciate ligament reconstruction: A prospective randomized study

2017 ◽  
Vol 46 (2) ◽  
pp. 785-791 ◽  
Author(s):  
Katarzyna Stańczak ◽  
Marzenna Zielińska ◽  
Marek Synder ◽  
Marcin Domżalski ◽  
Michał Polguj ◽  
...  
Keyword(s):  
Anterior Cruciate Ligament ◽  
Acl Reconstruction ◽  
Patellar Tendon ◽  
Cruciate Ligament ◽  
Randomized Study ◽  
Activity Level ◽  
Prospective Randomized Study ◽  
Kujala Score ◽  
Anterior Cruciate

Objective This prospective randomized study was performed to compare the outcomes of two operative methods of anterior cruciate ligament (ACL) reconstruction based on either bone–patellar tendon–bone (BTB) grafts or hamstring tendon (HT) grafts. Methods Among 100 patients, 96 completed the full follow-up period and were included in the final analysis (48 in the BTB group and 48 in the HT group). The patients were evaluated preoperatively and 1, 3, 6, and 12 months after ACL reconstruction. The Kujala score, Tegner score, and Knee injury and Osteoarthritis Outcome Score (KOOS) were among the parameters used to evaluate the patients. Results Both groups were comparable in terms of sex, age, and body mass index. None of the analyzed scores were significantly different between the BTB and HT groups at either the initial or last visit. Both groups demonstrated improvement at the 12-year follow-up according to the Kujala score and most categories of the KOOS. The Tegner activity level score showed significant improvement in the HT but not BTB group. Conclusion Patients undergoing ACL reconstruction with BTB and HT grafts show comparable improvement in functional results after 1 year of rehabilitation.

scholarly journals The Potentially Positive Role of PRPs in Preventing Femoral Tunnel Widening in ACL Reconstruction Surgery Using Hamstrings: A Clinical Study in 51 Patients

2014 ◽  
Vol 2014 ◽  
pp. 1-10 ◽  
Author(s):  
Konstantinos A. Starantzis ◽  
Dimitrios Mastrokalos ◽  
Dimitrios Koulalis ◽  
Olympia Papakonstantinou ◽  
Panayiotis N. Soucacos ◽  
...  
Keyword(s):  
Acl Reconstruction ◽  
Femoral Tunnel ◽  
Platelet Rich Plasma ◽  
Cruciate Ligament ◽  
Randomized Study ◽  
Tunnel Widening ◽  
Double Blind ◽  
Reconstruction Surgery ◽  
Significant Difference

Purpose. In this study, the early and midterm clinical and radiological results of the anterior cruciate ligament (ACL) reconstruction surgery with or without the use of platelet rich plasma (PRP) focusing on the tunnel-widening phenomenon are evaluated.Methods. This is a double blind, prospective randomized study. 51 patients have completed the assigned protocol. Recruited individuals were divided into two groups: a group with and a group without the use of PRPs. Patients were assessed on the basis of MRI scans, which were performed early postoperatively and repeated at least one-year postoperatively. The diameter was measured at the entrance, at the bottom, and at the mid distance of the femoral tunnel.Results. Our study confirmed the existence of tunnel widening as a phenomenon. The morphology of the dilated tunnels was conical in both groups. There was a statistical significant difference in the mid distance of the tunnels between the two groups. This finding may support the role of a biologic response secondary to mechanical triggers.Conclusions. The use of RPRs in ACL reconstruction surgery remains a safe option that could potentially eliminate the biologic triggers of tunnel enlargement. The role of mechanical factors, however, remains important.

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