Femoral press-fit fixation technique in anterior cruciate ligament reconstruction using bone-patellar tendon-bone graft: A prospective clinical evaluation of 285 patients

Attila Pavlik, Péter Hidas, András Tállay, József Toman, István Berkes

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Background: The security of the graft fixation is an important factor of anterior cruciate ligament reconstruction, especially in the early postoperative period. Hypothesis: The femoral press-fit fixation technique is a safe, alternative technique for the fixation of the bone-patellar tendon-bone graft. Study Design: Case series; Level of evidence, 4. Methods: Between January 1, 1998, and June 30, 2002, 285 patients, with a mean age of 29.1 years, underwent operation and observation in our department. All patients had arthroscopic anterior cruciate ligament reconstruction using bone-patellar tendon-bone graft with femoral press-fit and tibial interference screw fixation. The mean follow-up period was 35.8 months (range, 24-77 months). During each patient's evaluation, a physical examination, a subjective evaluation, the International Knee Documentation Committee and Lysholm scores, KT-1000 arthrometer testing, and radiological evaluation were performed. The paired Student f test or χ2 test was used for statistical analysis. Results: According to the International Knee Documentation Committee score, 241 patients (85%) had good (46 normal and 195 nearly normal) results, whereas 39 patients had abnormal and 5 patients had severely abnormal overall results. The preoperative mean Lysholm score was 63.5 ± 12.7 points. At the final examination, the mean value was 93.5 ± 7.8 points (P <.01). One hundred ninety-seven athletes could return to their previous sports activity level, whereas 13 patients gave up their sports career. The KT-1000 arthrometer results showed a side-to-side difference of 1.91 ± 2.1 mm at the maximum manual strength tests. Conclusion: The femoral press-fit fixation is an alternative fixation method for the bone-patellar tendon-bone graft and provides good stability for the anterior cruciate ligament reconstruction. The use of press-fit fixation technique avoids most interference screw or other hardware-induced complications at the femoral side.

Original languageEnglish
Pages (from-to)220-225
Number of pages6
JournalAmerican Journal of Sports Medicine
Volume34
Issue number2
DOIs
Publication statusPublished - Feb 2006

Fingerprint

Bone-Patellar Tendon-Bone Grafts
Anterior Cruciate Ligament Reconstruction
Thigh
Documentation
Sports
Knee
Postoperative Period
Athletes
Physical Examination
Observation
Students
Transplants

Keywords

  • ACL reconstruction
  • Follow-up study
  • Patellar tendon
  • Press-fit fixation

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

Femoral press-fit fixation technique in anterior cruciate ligament reconstruction using bone-patellar tendon-bone graft : A prospective clinical evaluation of 285 patients. / Pavlik, Attila; Hidas, Péter; Tállay, András; Toman, József; Berkes, István.

In: American Journal of Sports Medicine, Vol. 34, No. 2, 02.2006, p. 220-225.

Research output: Contribution to journalArticle

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abstract = "Background: The security of the graft fixation is an important factor of anterior cruciate ligament reconstruction, especially in the early postoperative period. Hypothesis: The femoral press-fit fixation technique is a safe, alternative technique for the fixation of the bone-patellar tendon-bone graft. Study Design: Case series; Level of evidence, 4. Methods: Between January 1, 1998, and June 30, 2002, 285 patients, with a mean age of 29.1 years, underwent operation and observation in our department. All patients had arthroscopic anterior cruciate ligament reconstruction using bone-patellar tendon-bone graft with femoral press-fit and tibial interference screw fixation. The mean follow-up period was 35.8 months (range, 24-77 months). During each patient's evaluation, a physical examination, a subjective evaluation, the International Knee Documentation Committee and Lysholm scores, KT-1000 arthrometer testing, and radiological evaluation were performed. The paired Student f test or χ2 test was used for statistical analysis. Results: According to the International Knee Documentation Committee score, 241 patients (85{\%}) had good (46 normal and 195 nearly normal) results, whereas 39 patients had abnormal and 5 patients had severely abnormal overall results. The preoperative mean Lysholm score was 63.5 ± 12.7 points. At the final examination, the mean value was 93.5 ± 7.8 points (P <.01). One hundred ninety-seven athletes could return to their previous sports activity level, whereas 13 patients gave up their sports career. The KT-1000 arthrometer results showed a side-to-side difference of 1.91 ± 2.1 mm at the maximum manual strength tests. Conclusion: The femoral press-fit fixation is an alternative fixation method for the bone-patellar tendon-bone graft and provides good stability for the anterior cruciate ligament reconstruction. The use of press-fit fixation technique avoids most interference screw or other hardware-induced complications at the femoral side.",
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