Femoral Tunnel Widening after Quadrupled Hamstring Anterior Cruciate Ligament Reconstruction
Purpose. To evaluate the extent of femoral tunnel widening after quadrupled hamstring anterior cruciate ligament reconstruction using femoral cross pin fixation in contrast to bioabsorbable screw fixation augmented with Endopearl. Methods. 16 patients underwent cross pin femoral fixation and the nex...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2010-08-01
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| Series: | Journal of Orthopaedic Surgery |
| Online Access: | https://doi.org/10.1177/230949901001800213 |
| _version_ | 1819181945115901952 |
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| author | Philip Cheung Wai-Lam Chan Chi-Hung Yen Sze-Chung Cheng Siu-Bon Woo Tsz-Kau Wong Wing-Cheung Wong |
| author_facet | Philip Cheung Wai-Lam Chan Chi-Hung Yen Sze-Chung Cheng Siu-Bon Woo Tsz-Kau Wong Wing-Cheung Wong |
| author_sort | Philip Cheung |
| collection | DOAJ |
| description | Purpose. To evaluate the extent of femoral tunnel widening after quadrupled hamstring anterior cruciate ligament reconstruction using femoral cross pin fixation in contrast to bioabsorbable screw fixation augmented with Endopearl. Methods. 16 patients underwent cross pin femoral fixation and the next 15 underwent bioabsorbable screw fixation augmented with Endopearl. The patients were evaluated radiographically for femoral tunnel widening. Standard posteroanterior radiographs of the knee in full extension were taken at postoperative year 2 and 5. The tunnel width was measured at the opening, the widest and the most proximal parts of the femoral tunnel. Results. In the femoral cross pin and bioabsorbable screw fixations, the mean femoral tunnel sizes were 7.6 and 8.0 mm, respectively. The overall mean tunnel widening at all measured sites were 2.7 and 1.8 mm at the 2-year follow-up and were 2.5 and 1.8 mm at the 5-year follow-up, respectively. The femoral tunnel widening was greater in the cross pin than the bioabsorbable screw group, but only the difference in the most proximal part was significant (p=0.01 at year 2 and p<0.001 at year 5). Conclusion. Femoral tunnel widening was greater in femoral cross pin fixation, probably related to the windshield-wiper and bungee-cord effects. It usually occurred in the first 2 years after the operation and remained static thereafter. |
| first_indexed | 2024-12-22T22:38:17Z |
| format | Article |
| id | doaj.art-4f82190136844b0ca06afff7d0468c8a |
| institution | Directory Open Access Journal |
| issn | 2309-4990 |
| language | English |
| last_indexed | 2024-12-22T22:38:17Z |
| publishDate | 2010-08-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Orthopaedic Surgery |
| spelling | doaj.art-4f82190136844b0ca06afff7d0468c8a2022-12-21T18:10:15ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902010-08-011810.1177/230949901001800213Femoral Tunnel Widening after Quadrupled Hamstring Anterior Cruciate Ligament ReconstructionPhilip CheungWai-Lam ChanChi-Hung YenSze-Chung ChengSiu-Bon WooTsz-Kau WongWing-Cheung WongPurpose. To evaluate the extent of femoral tunnel widening after quadrupled hamstring anterior cruciate ligament reconstruction using femoral cross pin fixation in contrast to bioabsorbable screw fixation augmented with Endopearl. Methods. 16 patients underwent cross pin femoral fixation and the next 15 underwent bioabsorbable screw fixation augmented with Endopearl. The patients were evaluated radiographically for femoral tunnel widening. Standard posteroanterior radiographs of the knee in full extension were taken at postoperative year 2 and 5. The tunnel width was measured at the opening, the widest and the most proximal parts of the femoral tunnel. Results. In the femoral cross pin and bioabsorbable screw fixations, the mean femoral tunnel sizes were 7.6 and 8.0 mm, respectively. The overall mean tunnel widening at all measured sites were 2.7 and 1.8 mm at the 2-year follow-up and were 2.5 and 1.8 mm at the 5-year follow-up, respectively. The femoral tunnel widening was greater in the cross pin than the bioabsorbable screw group, but only the difference in the most proximal part was significant (p=0.01 at year 2 and p<0.001 at year 5). Conclusion. Femoral tunnel widening was greater in femoral cross pin fixation, probably related to the windshield-wiper and bungee-cord effects. It usually occurred in the first 2 years after the operation and remained static thereafter.https://doi.org/10.1177/230949901001800213 |
| spellingShingle | Philip Cheung Wai-Lam Chan Chi-Hung Yen Sze-Chung Cheng Siu-Bon Woo Tsz-Kau Wong Wing-Cheung Wong Femoral Tunnel Widening after Quadrupled Hamstring Anterior Cruciate Ligament Reconstruction Journal of Orthopaedic Surgery |
| title | Femoral Tunnel Widening after Quadrupled Hamstring Anterior Cruciate Ligament Reconstruction |
| title_full | Femoral Tunnel Widening after Quadrupled Hamstring Anterior Cruciate Ligament Reconstruction |
| title_fullStr | Femoral Tunnel Widening after Quadrupled Hamstring Anterior Cruciate Ligament Reconstruction |
| title_full_unstemmed | Femoral Tunnel Widening after Quadrupled Hamstring Anterior Cruciate Ligament Reconstruction |
| title_short | Femoral Tunnel Widening after Quadrupled Hamstring Anterior Cruciate Ligament Reconstruction |
| title_sort | femoral tunnel widening after quadrupled hamstring anterior cruciate ligament reconstruction |
| url | https://doi.org/10.1177/230949901001800213 |
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