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首页> 外文期刊>American Journal of Sports Medicine >Femoral press-fit fixation technique in anterior cruciate ligament reconstruction using bone-patellar tendon-bone graft: a prospective clinical evaluation of 285 patients.
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Femoral press-fit fixation technique in anterior cruciate ligament reconstruction using bone-patellar tendon-bone graft: a prospective clinical evaluation of 285 patients.

机译：股骨压配合固定技术在using骨前腱韧带重建中的应用：-骨腱-骨移植：285例患者的前瞻性临床评估。

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BACKGROUND: The security of the graft fixation is an important factor of anterior cruciate ligament reconstruction, especially in the early postoperative period. HYPOTHESIS: The femoral press-fit fixation technique is a safe, alternative technique for the fixation of the bone-patellar tendon-bone graft. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Between January 1, 1998, and June 30, 2002, 285 patients, with a mean age of 29.1 years, underwent operation and observation in our department. All patients had arthroscopic anterior cruciate ligament reconstruction using bone-patellar tendon-bone graft with femoral press-fit and tibial interference screw fixation. The mean follow-up period was 35.8 months (range, 24-77 months). During each patient's evaluation, a physical examination, a subjective evaluation, the International Knee Documentation Committee and Lysholm scores, KT-1000 arthrometer testing, and radiological evaluation were performed. The paired Student t test or chi(2) test was usedfor statistical analysis. RESULTS: According to the International Knee Documentation Committee score, 241 patients (85%) had good (46 normal and 195 nearly normal) results, whereas 39 patients had abnormal and 5 patients had severely abnormal overall results. The preoperative mean Lysholm score was 63.5 +/- 12.7 points. At the final examination, the mean value was 93.5 +/- 7.8 points (P < .01). One hundred ninety-seven athletes could return to their previous sports activity level, whereas 13 patients gave up their sports career. The KT-1000 arthrometer results showed a side-to-side difference of 1.91 +/- 2.1 mm at the maximum manual strength tests. CONCLUSION: The femoral press-fit fixation is an alternative fixation method for the bone-patellar tendon-bone graft and provides good stability for the anterior cruciate ligament reconstruction. The use of press-fit fixation technique avoids most interference screw or other hardware-induced complications at the femoral side.
机译：背景：移植物固定的安全性是前十字韧带重建的重要因素，尤其是在术后早期。假设：股骨压入固定术是固定pat骨腱-骨移植物的一种安全的替代技术。研究设计：案例系列;证据级别：4。方法：在1998年1月1日至2002年6月30日期间，我们部门对285例平均年龄29.1岁的患者进行了手术和观察。所有患者均采用骨pat骨腱-骨移植物并经股骨压入配合和胫骨干螺钉固定进行关节镜检查。平均随访期为35.8个月（范围24-77个月）。在每个患者的评估过程中，进行了身体检查，主观评估，国际膝关节文献委员会和Lysholm评分，KT-1000关节镜检查以及放射学评估。配对的Student t检验或chi（2）检验用于统计分析。结果：根据国际膝关节文献委员会的评分，有241例患者（占85％）的结果良好（46例正常，而195例接近正常），而总体结果异常的有39例，严重异常的有5例。术前平均Lysholm评分为63.5 +/- 12.7分。在最终检查时，平均值为93.5 +/- 7.8点（P <.01）。一百九十七名运动员可以恢复到以前的体育活动水平，而十三名患者放弃了他们的体育事业。 KT-1000关节流量计的结果显示，在最大手动强度测试下，其左右差异为1.91 +/- 2.1 mm。结论：股骨压入固定是is骨腱-骨移植的另一种固定方法，并为前交叉韧带重建提供了良好的稳定性。压入固定技术的使用避免了大多数干涉螺钉或其他由硬件引起的股骨侧并发症。

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