title: Cortical femoral suspensory fixation using screw post in anatomic single-bundle anterior cruciate ligament reconstruction: a prospective study and mid-term outcome results.
abstract: Cortical femoral suspensory fixation using screw post in ACLR has the advantage of allowing complete filling of the femoral tunnel with graft tissue. In addition, the low cost of the implants is an advantage in countries where cost is an issue of concern. The purpose of the current study was to evaluate the clinical functional outcome results of cortical femoral suspensory fixation using screw post at mid-term follow-up.
  
  
  
  Single surgeon single centre prospective case series study. Sixty two patients having complete ACL tears were included in the current study. Average follow-up was 52.6 months (range 38-68). Objective and subjective IKDC scores, Lysholm knee score, SF-36 score, VAS for patients' satisfaction, VAS for pain and Kellgren & Lawrence (K/L) classification of osteoarthritis were used for follow-up evaluation.
  
  
  
  Objective IKDC score revealed that 59 patients had grade "A" and 3 had grade "B", while no single patient had neither grade "C" nor "D". The average Lysholm score was 90.7, average subjective IKDC was 89.5. Average SF-36 score was 94.8. The average VAS for operation satisfaction was 9.4. Average VAS for pain was 0.2. Forty six patients were classified as normal K/L classification, nine were grade "1", seven were grade "2". Comparing pre-operative and follow-up objective IKDC, subjective IKDC, Lysholm, SF-36, and VAS for pain scores revealed statistically significant differences (P-value <0.05).
  
  
  
  Femoral suspensory fixation using screw post in ACLR showed excellent functional outcome results at mid-term follow-up.
authors.affiliation: Orthopaedic Surgery and Traumatology Department, Faculty of Medicine, Suez Canal University, Circular Road, 41522, Ismailia, Egypt. ashraf.abdelkafy@gmail.com.
authors.forename: Ashraf
authors.initials: A
authors.lastname: Abdelkafy
mesh_terms: D000328:Adult; D016118:Anterior Cruciate Ligament / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries / Q000503:physiopathology / Q000601:surgery*; D059549:Anterior Cruciate Ligament Reconstruction / Q000379:methods*; D001863:Bone Screws; D005269:Femur / Q000601:surgery*; D006801:Humans; D017060:Patient Satisfaction; D011446:Prospective Studies
keywords: Anatomic anterior cruciate ligament reconstruction; Cortical suspensory fixation; Mid-term follow-up; Prospective study; Screw post