2023 ISAKOS Biennial Congress ePoster
Comparative Results Of Anterior Cruciate Ligament Reconstruction With Full Tibial Tunnel: Quadrupled Semitendinosus Suspensory Femoral And Tibial Fixation Versus Quadrupled Semitendinosus and Gracilis Suspensory Femoral and Tibial Screw & Staple Fixation
Mahir Mahirogullari, MD, Prof., Istanbul TURKEY
Lokman Kehribar, MD, Samsun, Samsun TURKEY
Serkan Surucu, MD, New Haven, Connecticut UNITED STATES
M. Enes Kayaalp, MD, Assoc. Prof., Pittsburgh, Pennsylvania TURKEY
Ali Kerim Yılmaz, PhD, Samsun, N/A TURKEY
Mahmud Aydın, MD, Istanbul TURKEY
Memorial Health Group Sisli Memorial Hospital, Istanbul , TURKEY
The FDA has not cleared the following pharmaceuticals and/or medical device for the use described in this presentation. The following pharmaceuticals and/or medical device are being discussed for an off-label use: Ankura Medical , Femobutton
Summary
ACl reconstruction can be done by using single hamstring and suspensory adjustable bigger button without using retrodrill
ePosters will be available shortly before Congress
Abstract
ntroduction
This study compared the clinical outcomes of patients treated with described “modified all-inside” anterior cruciate ligament reconstruction (ACLR) technique with those of patients treated with suspensory femoral fixation and a bioabsorbable tibial interference screw with the ACLR technique.
Material And Methods
This study comprised 98 patients who underwent ACLR surgery by two surgeons using one of the two procedures between 2017 and 2019. Patients in Group 1 were treated with the “modified all-inside” ACLR technique. Only the semitendinosus tendon was harvested as a 4 quadrupled graft and fixed to the tibia and femur with suspensory buttons in this technique. ACL reconstruction was performed in Group 2 patients using suspensory femoral fixation and bioabsorbable tibial interference screws. Patients’ functional outcomes were evaluated by the Lysholm score, Tegner activity scale, and International Knee Documentation Committee (IKDC) subjective score. Postoperative knee stability of the patients was evaluated using the Lachman test and the pivot shift test.
Results
The mean ages of the patients were 31.1 (16–55) and 28.7 (18–48) years in Group 1 and 2, respectively. The mean durations of follow-up for both groups were 26 (20-30) and 25.9 (22-30) months. There was no significant difference between the preoperative and postoperative Lysholm score, Tegner activity score, and IKDC subjective score of Group 1 and Group 2. There were no major complications or re-ruptures in either group.
Conclusions
ACLR with the "modified all-inside" ACL reconstruction technique yielded equivalent clinical outcomes to ACLR using a suspensory femoral fixation and a bioabsorbable tibial interference screw.