Anterior cruciate ligament reconstruction using a hamstring graft: a retrospective comparison of tunnel widening upon use of two different femoral fixation methods

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dc.authoridkaymaz, burak/0000-0001-6207-8063
dc.contributor.authorMermerkaya, Musa Ugur
dc.contributor.authorAtay, Ozgur Ahmet
dc.contributor.authorKaymaz, Burak
dc.contributor.authorBekmez, Senol
dc.contributor.authorKaraaslan, Fatih
dc.contributor.authorDoral, Mahmut Nedim
dc.date.accessioned2025-01-27T20:16:50Z
dc.date.available2025-01-27T20:16:50Z
dc.date.issued2015
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractTo compare femoral and tibial tunnel widening (TW) in patients undergoing anterior cruciate ligament (ACL) reconstruction using an interference screw (IS), or an EndoButton-Continuous Loop(A (R)) on the femoral side, and an IS/staple on the tibial side. Between 2006 and 2009, at a single institution, 72 patients who underwent arthroscopic ACL reconstruction with quadrupled hamstring tendon grafting were retrospectively reviewed. Fixation was performed, and with the EndoButton-Continuous Loop(A (R)) device (Group I (TM)) in 48 patients (mean age 29.1 +/- A 7.3 years) with a bioabsorbable IS (Group I (TM) I (TM)) in 24 patients (mean age 28.5 +/- A 8.4 years) on the femoral side. Evaluation included standardized anteroposterior (AP) and lateral radiography. The diameters of tunnels at the last follow-up visit (at a median time of 17 months postoperatively) were compared to those noted on radiographs taken 1 day postoperatively. The two groups were similar in terms of age and gender distribution, the operated side, the size of the tunnel created, and the follow-up period (n.s.). Femoral TW at the proximal and middle levels (on both AP and lateral views) in Group I (TM) I (TM) was significantly greater than in Group I (TM) (p < 0.050 for all comparisons). No significant difference in femoral TW at the distal level was evident between the groups, and tibial TW at all levels was similar in both groups (n.s.). Femoral TW is less after EndoButton-Continuous Loop(A (R)) fixation and not reduced after IS fixation. Surgeons should be aware of TW when selecting a fixation device for hamstring graft. Therapeutic, retrospective comparative study, Level III.
dc.identifier.doi10.1007/s00167-014-3034-1
dc.identifier.endpage2291
dc.identifier.issn0942-2056
dc.identifier.issn1433-7347
dc.identifier.issue8
dc.identifier.pmid24819176
dc.identifier.scopus2-s2.0-84938959887
dc.identifier.scopusqualityQ1
dc.identifier.startpage2283
dc.identifier.urihttps://doi.org/10.1007/s00167-014-3034-1
dc.identifier.urihttps://hdl.handle.net/20.500.12428/21407
dc.identifier.volume23
dc.identifier.wosWOS:000358375200020
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofKnee Surgery Sports Traumatology Arthroscopy
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20250125
dc.subjectAnterior cruciate ligament reconstruction
dc.subjectTunnel widening
dc.subjectEndoButton
dc.subjectInterference screw
dc.titleAnterior cruciate ligament reconstruction using a hamstring graft: a retrospective comparison of tunnel widening upon use of two different femoral fixation methods
dc.typeArticle

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