Comparison of bioabsorbable interference screws and posts for distal fixation in anterior cruciate ligament reconstruction.
Comparison of the results of bioabsorbable interference screws and posts for hamstring graft distal fixation in ACL reconstructions are presented. The results of 20 patients with bioabsorbable screws were compared to 22 patients with posts. The assessement was based on Lysholm-Gillquist and Marshall scores and the KT-1000 device. In the study group the points gained were 38.9 in the Lysholm-Gillquist and 12.89 in the Marshall scale. The average KT-1000 difference was 2.46 mm. In the control group the points gained were 32.93 in the Lysholm-Gillquist and 11.47 in the Marshall scale. The average KT-1000 difference was 2.5 mm. There were 14 patients in the study group with interference screw problems; in 2 the implants were removed. (1) There are no differences in outcome using bioabsorbable interference screws and posts for distal fixation of hamstring ACL grafts. (2) The lack of bioabsorbtion with poly L-lactide interference screws is frequent and causes problems.
Gaweda
Krzysztof
K
Orthopedic Surgery and Traumatology Department SPSK 4, Medical University of Lublin, ul. Jaczewskiego 8, 20-954, Lublin, Poland. krzylub@o2.pl
Walawski
Jacek
J
Wegłowski
Robert
R
Krzyzanowski
Wojciech
W
D020341:Absorbable Implants / Q000009:adverse effects; D000293:Adolescent; D000328:Adult; D016118:Anterior Cruciate Ligament / Q000473:pathology / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D001182:Arthroscopy / Q000379:methods*; D001845:Bone Cysts / Q000209:etiology / Q000473:pathology; D001863:Bone Screws / Q000009:adverse effects; D015331:Cohort Studies; D005260:Female; D005548:Foreign-Body Migration; D006801:Humans; D016268:Internal Fixators / Q000009:adverse effects; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D016896:Treatment Outcome; D055815:Young Adult