See the published version of this preprint at BMC Musculoskeletal Disorders.
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Research article
Leena Metso
Corresponding Author
ORCiD: https://orcid.org/0000-0003-2875-6478
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This work is licensed under a CC BY 4.0 License. Read Full License
Background: This study compares long term results of femoral tunnel drilling between anteromedial (AM) and transtibial (TT) techniques in reconstruction of anterior cruciate ligament (ACL). Methods: 300 patients with ACL reconstructions were chosen to this study from previously collected data of ACL reconstructions.They were divided into two groups: 150 patients with AM and 150 with TT drilling. In the AM group the reconstructions were performed using semitendinosus graft with Tape Locking Screw (TLS™) technique (n=87) or Retrobutton™ femoral and BioScrew™ tibial fixation with a semitendinosus-gracilis graft (n=63). In the TT group the fixation method used was Rigidfix™ femoral and Intrafix tibial fixation with a semitendinosus-gracilis graft. The evaluation methods were clinical examination, knee scores (Lysholm, Tegner, IKDC) and instrumented laxity measurements (KT-2000™). Our aim was to evaluate if there is a better rotational stability and therefore better clinical resultswhen using AM drilling compared to TT drilling. Results: Revision procedures were excluded from the study. There were 132 patients in the AM group and 133 in the TT group for evaluation. In the two year follow-up there were 60 patients in the AM group (45,5 %) and 58 in the TT group (43,6 %). There were no statistically significant differences found between the groups. Conclusion: Both drilling techniques resulted in improved patient performance and patient satisfaction. We found no data supporting the hypothesis that AM drilling technique provides better rotational stability to the knee.
Trial registration: ISRCTN registry with study ID ISRCTN16407730.
Keywords: Anterior cruciate ligament reconstruction; clinicaloutcome; anteromedial; transtibial
Keywords
Anterior cruciate ligament reconstruction; clinical outcome; anteromedial; transtibial
This is a list of supplementary files associated with this preprint. Click to download.
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View the published article at BMC Musculoskeletal Disorders.
Version 2
Posted 03 Apr, 2020
No community comments so far
Editorial decision: Major revision
On 02 Apr, 2020
Editor assigned
On 31 Mar, 2020
Submission checks complete
On 30 Mar, 2020
Editor invited
On 30 Mar, 2020
No comments provided
Editorial decision: Major revision
On 25 Jan, 2020
Review #2 received
Received 24 Jan, 2020
Review #1 received
Received 22 Jan, 2020
Reviewer #2 agreed
On 21 Jan, 2020
Reviewer #1 agreed
On 19 Jan, 2020
Editor assigned
On 16 Jan, 2020
Reviewers invited
Invitations sent on 16 Jan, 2020
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On 15 Jan, 2020
Editor invited
On 15 Jan, 2020
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A new preprint design is coming!
We have improved readability, clarity, accessibility, and opportunities for engagement.
See the published version of this preprint at BMC Musculoskeletal Disorders.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Leena Metso
Corresponding Author
ORCiD: https://orcid.org/0000-0003-2875-6478
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Musculoskeletal Disorders.
Version 2
Posted 03 Apr, 2020
No community comments so far
Editorial decision: Major revision
On 02 Apr, 2020
Editor assigned
On 31 Mar, 2020
Submission checks complete
On 30 Mar, 2020
Editor invited
On 30 Mar, 2020
No comments provided
Editorial decision: Major revision
On 25 Jan, 2020
Review #2 received
Received 24 Jan, 2020
Review #1 received
Received 22 Jan, 2020
Reviewer #2 agreed
On 21 Jan, 2020
Reviewer #1 agreed
On 19 Jan, 2020
Editor assigned
On 16 Jan, 2020
Reviewers invited
Invitations sent on 16 Jan, 2020
Submission checks complete
On 15 Jan, 2020
Editor invited
On 15 Jan, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Orthopedics
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Musculoskeletal Disorders.
Background: This study compares long term results of femoral tunnel drilling between anteromedial (AM) and transtibial (TT) techniques in reconstruction of anterior cruciate ligament (ACL). Methods: 300 patients with ACL reconstructions were chosen to this study from previously collected data of ACL reconstructions.They were divided into two groups: 150 patients with AM and 150 with TT drilling. In the AM group the reconstructions were performed using semitendinosus graft with Tape Locking Screw (TLS™) technique (n=87) or Retrobutton™ femoral and BioScrew™ tibial fixation with a semitendinosus-gracilis graft (n=63). In the TT group the fixation method used was Rigidfix™ femoral and Intrafix tibial fixation with a semitendinosus-gracilis graft. The evaluation methods were clinical examination, knee scores (Lysholm, Tegner, IKDC) and instrumented laxity measurements (KT-2000™). Our aim was to evaluate if there is a better rotational stability and therefore better clinical resultswhen using AM drilling compared to TT drilling. Results: Revision procedures were excluded from the study. There were 132 patients in the AM group and 133 in the TT group for evaluation. In the two year follow-up there were 60 patients in the AM group (45,5 %) and 58 in the TT group (43,6 %). There were no statistically significant differences found between the groups. Conclusion: Both drilling techniques resulted in improved patient performance and patient satisfaction. We found no data supporting the hypothesis that AM drilling technique provides better rotational stability to the knee.
Trial registration: ISRCTN registry with study ID ISRCTN16407730.
Keywords: Anterior cruciate ligament reconstruction; clinicaloutcome; anteromedial; transtibial
This is a list of supplementary files associated with this preprint. Click to download.
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