Premium
Prospective randomized comparison of endobutton versus cross‐pin femoral fixation in hamstring anterior cruciate ligament reconstruction with 2‐year follow‐up
Author(s) -
Price Rohan,
Stoney James,
Brown Graeme
Publication year - 2010
Publication title -
anz journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 70
eISSN - 1445-2197
pISSN - 1445-1433
DOI - 10.1111/j.1445-2197.2009.05128.x
Subject(s) - medicine , hamstring , anterior cruciate ligament , fixation (population genetics) , anterior cruciate ligament reconstruction , surgery , femur , population , environmental health
Background: To determine if there is a different clinical outcome after TransFix versus endobutton femoral fixation in hamstring anterior cruciate ligament (ACL) reconstruction. Methods: Twenty‐nine patients were randomized into either Endobutton (Smith & Nephew, Andover, MA, USA) ( n = 13) or TransFix (Arthrex, Naples, FL, USA) ( n = 16) femoral fixation in hamstring ACL reconstruction. The distal fixation was with a bioabsorbable interference screw. The evaluation methods were clinical history and examination, KT1000 arthrometry for laxity as well as the International Knee Documentation Committee (IKDC) scores over a 2‐year time frame. Results: There were no significant differences between the study groups preoperatively. For the 2‐year follow‐up, 11 patients in the Endobutton group and 13 patients in the TransFix group were available (greater than 80%). No statistical differences between the two groups were found at the 1‐ or 2‐year follow‐up examinations. At the 2‐year follow‐up, 72.7% of the Endobutton and 84.6% of the TransFix group patients were in the IKDC A or B categories. Additional procedures postoperatively occurred more frequently in the TransFix group. Conclusions: There were no significant differences in the results for either technique of femoral fixation. Level of Evidence: Level I.