Biomechanical Evaluation of Cross-Pin Versus Interference Screw Tibial Fixation Using a Soft-Tissue Graft During Transtibial Posterior Cruciate Ligament Reconstruction
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Lee, Yong Seuk | - |
dc.contributor.author | Wang, Joon Ho | - |
dc.contributor.author | Bae, Ji Hoon | - |
dc.contributor.author | Lim, Hong Chul | - |
dc.contributor.author | Park, Jung Ho | - |
dc.contributor.author | Ahn, Jin Hwan | - |
dc.contributor.author | Bae, Tae Soo | - |
dc.contributor.author | Lim, Bee-Oh | - |
dc.date.accessioned | 2022-01-07T05:40:57Z | - |
dc.date.available | 2022-01-07T05:40:57Z | - |
dc.date.created | 2021-08-30 | - |
dc.date.issued | 2009-09 | - |
dc.identifier.issn | 0749-8063 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/134689 | - |
dc.description.abstract | Purpose: This article reports the biomechanical demonstration of a technique for transtibial posterior cruciate ligament (PCL) reconstruction using a soft-tissue graft with cross-pin fixation in the tibia and compares this with the biomechanical properties achieved with other methods. Methods: We used 5 paired cadaveric knees and another 10 tibias. Soft-tissue grafts were randomized. The femoral side of the anterior cruciate ligament was fixed with a Bio-TransFix device (Arthrex, Naples, FL) (group I), and the tibial side of the PCL was fixed with a Bio-TransFix device (group II). In another 10 tibias, tibial fixations were performed by use of a bio-interference screw (group III). Biomechanical testing was carried out on a testing machine, and maximal failure load, stiffness, and displacement were analyzed. The lengths of the slots of the TransFix device (Arthrex) from the near cortex were measured to compare the proper length of the device. Results: Maximal mean failure loads in groups I, II, and III were 549.3 +/- 55.4 N, 570.8 +/- 96.9 N, and 371.3 +/- 106.2 N, respectively, showing a significant difference (P = .0003). Stiffnesses were 47.52 +/- 16.84 N/mm, 59.14 +/- 17.09 N/mm, and 27.60 +/- 16.73 N/mm, respectively, showing a significant difference (P = .01). Mean displacements were 19.99 +/- 5.79 mm, 19.09 +/- 8.51 mm, and 17.58 +/- 7.10 mm, respectively, showing no significant difference (P = .7535). The mean lengths of the slots of the TransFix device of the femurs and tibias were similar at 20.3 +/- 1.25 mm and 20.2 +/- 1.32 mm, respectively, showing no significant difference (P = .8637). Conclusions: The transtibial technique by use of cross-pin tibial fixation with a Bio-TransFix device in PCL reconstruction provides stable fixation that is comparable to that achieved by use of conventional bio-interference screw fixation and femoral fixation in an anterior cruciate ligament reconstruction, an already well-established technique. Clinical Relevance: Biomechanically, tibial cross-pin fixation compares favorably with interference screw fixation and is useful when a graft is short. However, safety issues have not yet been resolved. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | W B SAUNDERS CO-ELSEVIER INC | - |
dc.subject | HAMSTRING TENDON GRAFT | - |
dc.subject | 2-YEAR FOLLOW-UP | - |
dc.subject | FEMORAL FIXATION | - |
dc.subject | MECHANICAL-PROPERTIES | - |
dc.subject | TRANSFIX FIXATION | - |
dc.subject | PART II | - |
dc.subject | DEVICES | - |
dc.subject | ALLOGRAFT | - |
dc.subject | STRENGTH | - |
dc.subject | SHEEP | - |
dc.title | Biomechanical Evaluation of Cross-Pin Versus Interference Screw Tibial Fixation Using a Soft-Tissue Graft During Transtibial Posterior Cruciate Ligament Reconstruction | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Lee, Yong Seuk | - |
dc.contributor.affiliatedAuthor | Bae, Ji Hoon | - |
dc.contributor.affiliatedAuthor | Lim, Hong Chul | - |
dc.contributor.affiliatedAuthor | Park, Jung Ho | - |
dc.identifier.doi | 10.1016/j.arthro.2009.02.006 | - |
dc.identifier.scopusid | 2-s2.0-69249232059 | - |
dc.identifier.wosid | 000269698900015 | - |
dc.identifier.bibliographicCitation | ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, v.25, no.9, pp.989 - 995 | - |
dc.relation.isPartOf | ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY | - |
dc.citation.title | ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY | - |
dc.citation.volume | 25 | - |
dc.citation.number | 9 | - |
dc.citation.startPage | 989 | - |
dc.citation.endPage | 995 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Orthopedics | - |
dc.relation.journalResearchArea | Sport Sciences | - |
dc.relation.journalResearchArea | Surgery | - |
dc.relation.journalWebOfScienceCategory | Orthopedics | - |
dc.relation.journalWebOfScienceCategory | Sport Sciences | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
dc.subject.keywordPlus | HAMSTRING TENDON GRAFT | - |
dc.subject.keywordPlus | 2-YEAR FOLLOW-UP | - |
dc.subject.keywordPlus | FEMORAL FIXATION | - |
dc.subject.keywordPlus | MECHANICAL-PROPERTIES | - |
dc.subject.keywordPlus | TRANSFIX FIXATION | - |
dc.subject.keywordPlus | PART II | - |
dc.subject.keywordPlus | DEVICES | - |
dc.subject.keywordPlus | ALLOGRAFT | - |
dc.subject.keywordPlus | STRENGTH | - |
dc.subject.keywordPlus | SHEEP | - |
dc.subject.keywordAuthor | Posterior cruciate ligament | - |
dc.subject.keywordAuthor | Transtibial technique | - |
dc.subject.keywordAuthor | Cross-pin fixation | - |
dc.subject.keywordAuthor | Bio-TransFix | - |
dc.subject.keywordAuthor | Biomechanics | - |
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.
(02841) 서울특별시 성북구 안암로 14502-3290-1114
COPYRIGHT © 2021 Korea University. All Rights Reserved.
Certain data included herein are derived from the © Web of Science of Clarivate Analytics. All rights reserved.
You may not copy or re-distribute this material in whole or in part without the prior written consent of Clarivate Analytics.