Anterior cruciate ligament reconstruction with hamstring tendons and cross-pin femoral fixation compared with patellar tendon autografts.
OBJECTIVE
To investigate the outcome of arthroscopic anterior cruciate ligament (ACL) reconstruction with hamstring autograft using femoral cross-pin fixation compared with patellar tendon autografts.


METHODS
Matched retrospective cohort.


METHODS
Twenty-one patients who underwent ACL reconstruction with hamstring autograft and femoral cross-pin fixation were evaluated at an average of 16.4 months postoperatively. Subjective data were collected using the International Knee Documentation Committee (IKDC) and the Cincinnati Knee Scale. Objective data included a comprehensive knee examination, plain radiographs, and KT-1000 measurements. The results were compared with 19 matched patients who had previously undergone ACL reconstruction using patellar tendon autograft.


RESULTS
The average KT-1000 maximal manual side-to-side difference was 1.63 +/- 0.68 mm. Eighty-six percent of IKDC scores were normal or nearly normal. The average overall Cincinnati Knee Scale subjective symptom rating was 8.7 +/- 1.2. There was no significant difference in subjective or objective data between the 2 groups.


CONCLUSIONS
ACL reconstruction using femoral cross-pin fixation is a reliable technique showing outcomes comparable to other established methods of fixation.


METHODS
Level IV, case series.
Wilcox
Joseph F
JF
Department of Orthopaedic Surgery, The Ohio State University, Columbus, Ohio, USA. jfwilco@aol.com
Gross
John A
JA
Sibel
Roman
R
Backs
Rose A
RA
Kaeding
Christopher C
CC
D000293:Adolescent; D000328:Adult; D016118:Anterior Cruciate Ligament / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D001182:Arthroscopy / Q000379:methods*; D001858:Bone Nails; D015331:Cohort Studies; D005260:Female; D005269:Femur / Q000601:surgery* / Q000637:transplantation; D006801:Humans; D007718:Knee Injuries / Q000534:rehabilitation; D008297:Male; D008875:Middle Aged; D017847:Patellar Ligament / Q000637:transplantation*; D012189:Retrospective Studies; D013710:Tendons / Q000637:transplantation*; D013977:Tibia / Q000601:surgery / Q000637:transplantation; D014182:Transplantation, Autologous; D016896:Treatment Outcome