Anterior cruciate ligament reconstruction using patellar tendon autograft and bioresorbable interference screws

被引：2
作者：
Hofmann G.O. [1 ]
Wagner F.D. [1 ]
Beickert R. [1 ]
Gonschorek O. [1 ]
Bühren V. [1 ]
机构：
[1] Berufsgenossenschaftliche Unfallklinik, Murnau
来源：
European Journal of Trauma | 2001年 / 27卷 / 5期
关键词：
Anterior cruciate ligament reconstruction; Bioresorbable interference screws; Patellar tendon autograft;
D O I：
10.1007/s00068-001-1089-4
中图分类号：
学科分类号：
摘要：
Material and Method: Bioresorbable and biostable interference screws in operative reconstruction of anterior cruciate ligament (ACL) ruptures were compared concerning safety and efficacy. The randomized prospective clinical study consisted of 2 groups with 15 patients each, admitted at our center with acute (< 8 weeks) traumatic loss of ACL-stability. The ACL-reconstruction was performed in open technique using a bone-patellar tendon-bone autograft and fixation with bioresorbable (study group) or titanium (control group) interference screws. Results: Employing a special questionnaire patients' satisfaction was recorded. Functional results were scored using clinical examination and the Lachman test under sonographic control. Foreign-body reactions against the implants were assessed by clinical examinations and on radiographs. The follow-up of all patients was at least for 2 years. Ligament stability of the knee joint, operative and postoperative complication rate did not significantly differ between the two groups. 14 patients of the study group and 13 patients of the control group were completely satisfied. One patient of the study group was dissatisfied because of developing an infection. Conclusion: The results using bioresorbable interference screws in ACL-reconstruction are identic to those employing standard titanium implants. Differences in rates of operative and postoperative complications were not statistically significant. The advantages of the bioresorbable implants include the absence of urgent implant removal in case of secondary ACL-reconstruction procedures and undisturbed MRI and CT scans postoperatively.
引用
收藏
页码：241 / 249
页数：8
相关论文
共 48 条
[1]  
An Y.H., Friedman R.J., Powers D.L., Et al., Fixation of osteotomies using bioabsorbable screws in the canine femur, Clin Orthop, 355, pp. 300-311, (1998)
[2]  
Bach B.R., Tradonsky S., Bojchuk J., Et al., Arthroscopically assisted anterior cruciate ligament reconstruction using patellar tendon autograft, Am J Sports Med, 26, pp. 20-29, (1998)
[3]  
Barber F.A., Burton F.E., McGuire D.A., Et al., Preliminary results of an absorbable interference screw, Arthroscopy, 11, pp. 537-548, (1995)
[4]  
Barfod G., Svendsen R.N., Synovitis of the knee after intraarticular fracture fixation with Biofix, Acta Orthop Scand, 63, pp. 680-681, (1992)
[5]  
Bergsma E.J., Rozema F.R., Bos R.R., Et al., Foreign body reactions to resorbable PLA bone plates and screws used for the fixation of unstable zygomatic fractures, J Oral Maxillofac Surg, 51, pp. 666-670, (1993)
[6]  
Bostman O., Vainionpaa S., Hirvensalo E., Et al., Biodegradable internal fixation for malleolar fractures, J Bone Joint Surg Br, 69, pp. 615-619, (1987)
[7]  
Bostman O., Vainionpaa S., Hirvensalo E., Et al., Ankle fractures treated using biodegradable internal fixation, Clin Orthop, 238, pp. 195-203, (1989)
[8]  
Bostman O., Portio E., Hirvensalo E., Et al., Foreign-body reactions to polyglycolide screws, Acta Orthop Scand, 63, pp. 173-176, (1992)
[9]  
Bostman O.M., Osteoarthritis of the of the ankle after foreign-body reaction to absorbable pins and screws, J Bone Joint Surg Br, 80, pp. 333-338, (1998)
[10]  
Bostman O., Hirvensalo E., Vainionpaa S., Et al., Degradable polyglycolide rods for the for the internal fixation of displaced bimalleolar fractures, Int Orthop (SICOT), 14, pp. 1-8, (1990)
12345