|
KMID : 0828620060100020165
|
|
Journal of Korean Arthroscopy Society
2006 Volume.10 No. 2 p.165 ~ p.172
|
|
|
Significance of tibial intra-tunnel fixation at Arthroscopy ACL Reconstruction with hamstring tendon (Second-look Arthroscopic Evalution)
|
|
Kim Young-Chang
Seo Seung-Suk
Chung Kyung-Chi
Kim Yoon-Jun
Gwak Heui-Chul
Kim Jin-Seok
|
|
|
Abstract
|
|
|
Purpose:The purpose of this study is to evaluate the effects of intratunnel fixation in the tibial side on the arthroscopic ACL reconstruction with quadruple hamstring tendon at the second look arthroscopy.
Materials and Methods:From Dec. 1999 to May 2005, we arthroscopically reexamined 32 cases who had been done arthroscopic ACL reconstruction with quadruple hamstring tendons. Hamstring tendons of all cases were fixed at femoral side with Rigidfix™. At the tibial side hamstring tendons were fixed only Post-tie (Group I) or Post-tie combined with Intrafix™ (Group II). At the time of second look arthroscopy mean age of cases was 30 years and mean duration for second look arthroscopy was 21.3 months. We analyzed the results with IKDC score, KT-1000 arthrometer under anesthesia, Telos stress radiography, tibial tunnel widening on the radiography and second look arthroscopic findings.
Results:Group II had more superior than group I at side to side differences with KT-1000 and Telos stress radiograph, IKDC score, but the differences were insignificant. At arthroscopic evaluation, Group II also had more superior than group I at graft tension and graft appearance, graft synovialization , but the differences were insignificant. Tibial tunnel widening in the knee AP radiograph was 2.3 mm in Group I and 1.7 mm in Group II and the difference was significant. (P=0.042)
Conclusions:Additional procedure of tibial intratunnel fixation in arthroscopic ACL reconstruction with autogenous hamstring tendon significantly prohibited from tibial tunnel widening but clinical results, radiologic joint stability, findings in second look arthroscopy were insignificantly different. We concluded that Post-tie itself induced satisfactory clinical results, joint stability and graft maturation and that tibial tunnel widening did not affect the results.
|
|
|
KEYWORD
|
|
|
ACL rescontruction, Autogenous hamstring tendon, Tibial tunnel fixation, Tibial tunnel widening
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|
|