Interference fixation versus postfixation of bone-patellar tendon-bone grafts for anterior cruciate ligament reconstruction. A biomechanical comparative study in porcine knees.

Abstract:

:This study compares biomechanical characteristics of interference screw fixation to "postfixation" (sutures tied over cancellous screw and washer) of bone-patellar tendon-bone grafts in porcine anatomic specimen knees. Maximum pull-out strength (ultimate failure load), displacement of the bone graft at 110 N of force, and mode of failure were compared in a progressive load to failure test. Interference screw fixation demonstrated statistically significantly (p = 0.04) higher mean ultimate failure loads (535 N) compared to postfixation (309.1 N). Interference fixation also demonstrated statistically significantly (p = 0.0003) less displacement of the bone graft at 110 N of force (0.32 mm vs. 2.21 mm). All failures occurred at the fixation site. The authors conclude that interference fixation is stronger than postfixation and, in the immediate postoperative period, should better protect the graft from loosening after anterior cruciate ligament reconstruction, improving stability and allowing more aggressive rehabilitation.

journal_name

Clin Orthop Relat Res

authors

Paschal SO,Seemann MD,Ashman RB,Allard RN,Montgomery JB

subject

Has Abstract

pub_date

1994-03-01 00:00:00

pages

281-7

issue

300

eissn

0009-921X

issn

1528-1132

pub_type

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