Firooz Madadi, MD; Mohammad Reza Abbassian, MD; Fooad Rahimi, MD; Farivar Abdollahzadeh Lahiji, MD; Armin Aalami Harandi, MD; Farzam Farahmand; Tahereh Yazdanyar; Firozeh Madadi; Reza Sadeghian
Abstract
Background: Several different methods for fixation of grafts in anterior cruciate ligament (ACL) reconstruction have been used. The purpose of present study is to compare two techniques of tibial fixation in hamstring quadruple graft reconstruction. Methods: In a randomized clinical trial study, 46 ...
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Background: Several different methods for fixation of grafts in anterior cruciate ligament (ACL) reconstruction have been used. The purpose of present study is to compare two techniques of tibial fixation in hamstring quadruple graft reconstruction. Methods: In a randomized clinical trial study, 46 cases of isolated tears were reconstructed using hamstring grafts. In 24 cases the tibial fixation sites were fixed with interference screw, and in 22 patients the remnant end of graft at tibia was passed through a bony tunnel and fixed with suture to the bone. The cases were all assessed with a mean follow-up of one year with “Cincinnati knee ligament rating scale” and “KT-2000” examination.Results: The score in 22 “target group” cases was 8, and in 24 “control group” was 9. In “KT-2000” examination, 11 patients of double fixation were excellent and 11 good. In control group 4 cases had excellent and 20 good results (p < /em>=0.01).Conclusions: Double tibial fixation for ACL reconstruction with Hamstring tendon graft has a better outcome on “Symptom” evaluation and “KT-2000” instrument compared to single tibial-site fixation.
Bahador Aalami Harandi, MD; Seyed Mehdi Jafari, MD; Armin Aalami Harandi, MD
Abstract
Background: Intertrochanteric fractures continue to be one of the common orthopaedic injuries with heavy economic or/and social burden on the families and society. Internal fixation and early mobilization is the standard of care for these fractures. DHS is widely used, and is highly successful for the ...
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Background: Intertrochanteric fractures continue to be one of the common orthopaedic injuries with heavy economic or/and social burden on the families and society. Internal fixation and early mobilization is the standard of care for these fractures. DHS is widely used, and is highly successful for the fixation of the stable types but performs less well with unstable fracture patterns and has relatively higher failure rates. Proper positioning of the lag screw in central and deep part of the femoral head is crucial. It remains unclear if the presumed theoretical benefits of the intramedullary implant and lateral stabilizing plate warrant the additional expenses.
