title: Comparison of short term clinical outcomes between transtibial and transportal TransFix® femoral fixation in hamstring ACL reconstruction.
abstract: OBJECTIVE
  The aim of this study was to compare the clinical results of transtibial and transportal TransFix® methods in ACL reconstruction.
  
  
  METHODS
  One hundred and sixty-eight patients were randomized into either transtibial TransFix® (n = 88) or transportal TransFix® (n = 80) femoral fixation groups for hamstring ACL reconstruction. Patients were clinically evaluated through history and physical examination as well as the International Knee Documentation Committee (IKDC) and Lysholm scores and a rolimeter over an 18-month time frame.
  
  
  RESULTS
  According to the IKDC score, there were more normal knees in the transportal group than the transtibial group (37 vs. 25). Mean Lysholm score was 78.32 ± 10.7 in the transtibial group and 81.41 ± 8.2 in the transportal group (p = 0.037). Mean rolimeter value was 2.2 ± 1.13 mm in the transtibial group and 1.73 ± 0.85 mm in the transportal group (p = 0.002). At the final follow-up, 20 patients in the transtibial group and 10 in the transportal group had a Lachman test grade of 2 or 3. More intraoperative complications in terms of graft passage difficulties and posterior wall blow-up were seen in the transportal group.
  
  
  CONCLUSIONS
  Transportal TransFix® technique appears to produce better clinical results than the traditional transtibial technique.
authors.affiliation: Department of Orthopedic Surgery, Urmia University of Medical Sciences, Urmia, Iran. fardin_tolouei@yahoo.com
authors.forename: Fardin
authors.initials: F
authors.lastname: Mirzatolooei
mesh_terms: D000293:Adolescent; D000328:Adult; D016118:Anterior Cruciate Ligament / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D059549:Anterior Cruciate Ligament Reconstruction / Q000009:adverse effects / Q000379:methods*; D005260:Female; D005269:Femur / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007718:Knee Injuries / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D009984:Orthopedic Fixation Devices; D010808:Physical Examination / Q000379:methods; D011182:Postoperative Care / Q000379:methods; D011446:Prospective Studies; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology; D020127:Recovery of Function / Q000502:physiology; D018570:Risk Assessment; D013710:Tendons / Q000601:surgery / Q000637:transplantation*; D013977:Tibia / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult