A randomized prospective controlled study with 5-year follow-up of cross-pin femoral fixation versus metal interference screw fixation in anterior cruciate ligament reconstruction
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| 024 | 7 | 0 | |a 10.1007/s00167-014-3063-9 |2 doi |
| 035 | |a (NATIONALLICENCE)springer-10.1007/s00167-014-3063-9 | ||
| 245 | 0 | 2 | |a A randomized prospective controlled study with 5-year follow-up of cross-pin femoral fixation versus metal interference screw fixation in anterior cruciate ligament reconstruction |h [Elektronische Daten] |c [Patrick Björkman, Jerker Sandelin, Arsi Harilainen] |
| 520 | 3 | |a Purpose: The purpose of this study was to determine and compare mid- to long-term results of cross-pin versus metal interference screw fixation of ACL graft. Methods: In a prospective trial, 62 patients were randomized into two groups based on method of fixation. Transtibial drilling technique was used in the cross-pin and outside-in femoral drilling in the interference screw fixation group. Clinical and radiographical outcomes were assessed 2 and 5years postoperatively. Results: The study showed no clinically significant difference with respect to method of graft fixation. Mean anteroposterior side-to-side instrumented laxity difference was 2.4mm in the cross-pin group and 2.5mm in the screw group (n.s.). Median Tegner and mean Lysholm scores at 5years were 6 (range 3-9) and 92.2 (range 69-100) in the screw group and 7 (3-10) and 93.3 (82-100), respectively, in the cross-pin group. Radiographical osteoarthritis increased in both groups from 2 to 5years after reconstruction (p<0.05), especially in the medial and patellofemoral joint spaces. Widening of the drill tunnels continued from 2 to 5years without clinical significance. Conclusions and clinical relevance: The method of graft fixation did not yield a difference in clinical or radiographical outcome at 5years. Results were excellent in both groups. Level of evidence: I. | |
| 540 | |a Springer-Verlag Berlin Heidelberg, 2014 | ||
| 690 | 7 | |a Anterior cruciate ligament |2 nationallicence | |
| 690 | 7 | |a Ligament reconstruction |2 nationallicence | |
| 690 | 7 | |a Graft fixation |2 nationallicence | |
| 690 | 7 | |a Long-term follow-up |2 nationallicence | |
| 700 | 1 | |a Björkman |D Patrick |u Helsinki University Central Hospital, Helsinki, Finland |4 aut | |
| 700 | 1 | |a Sandelin |D Jerker |u ORTON Orthopaedic Hospital, Helsinki, Finland |4 aut | |
| 700 | 1 | |a Harilainen |D Arsi |u ORTON Orthopaedic Hospital, Helsinki, Finland |4 aut | |
| 773 | 0 | |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/8(2015-08-01), 2353-2359 |x 0942-2056 |q 23:8<2353 |1 2015 |2 23 |o 167 | |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s00167-014-3063-9 |q text/html |z Onlinezugriff via DOI |
| 898 | |a BK010053 |b XK010053 |c XK010000 | ||
| 900 | 7 | |a Metadata rights reserved |b Springer special CC-BY-NC licence |2 nationallicence | |
| 908 | |D 1 |a research-article |2 jats | ||
| 949 | |B NATIONALLICENCE |F NATIONALLICENCE |b NL-springer | ||
| 950 | |B NATIONALLICENCE |P 856 |E 40 |u https://doi.org/10.1007/s00167-014-3063-9 |q text/html |z Onlinezugriff via DOI | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Björkman |D Patrick |u Helsinki University Central Hospital, Helsinki, Finland |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Sandelin |D Jerker |u ORTON Orthopaedic Hospital, Helsinki, Finland |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Harilainen |D Arsi |u ORTON Orthopaedic Hospital, Helsinki, Finland |4 aut | ||
| 950 | |B NATIONALLICENCE |P 773 |E 0- |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/8(2015-08-01), 2353-2359 |x 0942-2056 |q 23:8<2353 |1 2015 |2 23 |o 167 | ||