Iranian Journal of Orthopedic Surgery

Biologic Double Tibial Fixation in ACL Reconstruction by Medial Hamstring Graft

Authors

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
https://doi.org/10.22034/ijos.2020.121180
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 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.

Keywords

Anterior cruciate ligament
Knee joint
Grafts
Iranian Journal of Orthopedic Surgery
Volume 6, Issue 4 - Serial Number 25
Autumn 2008
Pages 164-171

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