Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 25, Issue 10 , Pages 1101-1107 , October 2009

Comparison of Different Sizes of Bioabsorbable Interference Screws for Anterior Cruciate Ligament Reconstruction Using Bioabsorbable Bead Augmentation in a Porcine Model

  • Pei-Hung Shen, M.D.

      Affiliations

    • Department of Orthopedics, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China
  • ,
  • Shiu-Bii Lien, M.D.

      Affiliations

    • Department of Orthopedics, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China
  • ,
  • Hsain-Chung Shen, M.D.

      Affiliations

    • Department of Orthopedics, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China
  • ,
  • Chih-Chien Wang, M.D.

      Affiliations

    • Department of Orthopedics, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China
  • ,
  • Guo-Shu Huang, M.D.

      Affiliations

    • Department of Radiology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China
  • ,
  • Kuo-Hua Chao, M.D.

      Affiliations

    • Department of Orthopedics, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China
  • ,
  • Chian-Her Lee, M.D.

      Affiliations

    • Department of Orthopedics, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China
    • Taipei Medical University Hospital, Taipei, Taiwan, Republic of China
    • Corresponding Author InformationAddress correspondence and reprint requests to Chian-Her Lee, M.D., Department of Orthopedics and Traumatology, Taipei Medical University Hospital, 252 Wu Hsing Street, Taipei, Taiwan, Republic of China
  • ,
  • Leou-Chyr Lin, M.D.

      Affiliations

    • Department of Orthopedics, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China

Received 25 March 2008 ,Accepted 22 May 2009.

References 

  1. Becker R, Voigt D, Starke C, Heymann M, Wilson GA, Nebelung W. Biomechanical properties of quadruple tendon and patellar tendon femoral fixation techniques. Knee Surg Sports Traumatol Arthrosc. 2001;9:337–342
  2. Zhang AL, Lewicky YM, Oka R, Mahar A, Pedowitz R. Biomechanical analysis of femoral tunnel pull-out angles for anterior cruciate ligament reconstruction with bioabsorbable and metal interference screws. Am J Sports Med. 2007;35:637–642
  3. Brand JC, Pienkowski D, Steenlage E, et al. Interference screw fixation strength of a quadrupled hamstring tendon graft is directly related to bone mineral density and insertion torque. Am J Sports Med. 2000;28:705–710
  4. Zantop T, Weimann A, Schmidtko R, Herbort M, Raschke MJ, Petersen W. Graft laceration and pullout strength of soft-tissue anterior cruciate ligament reconstruction: In vitro study comparing titanium, poly-D, L-lactide, and poly-D, L-lactide-tricalcium phosphate screws. Arthroscopy. 2006;22:1204–1210
  5. Zantop T, Weimann A, Rummler M, Hassenpflug J, Petersen W. Initial fixation strength of two bioabsorbable pins for the fixation of hamstring grafts compared to interference screw fixation. Am J Sports Med. 2004;32:641–649
  6. Weimann A, Rodieck M, Zantop T, Hassenpflug J, Petersen W. Primary stability of hamstring graft fixation with biodegradable suspension versus interference screws. Arthroscopy. 2005;21:266–274
  7. Zantop T, Weimann A, Wolle K, Musahl V, Langer M, Petersen W. Initial and 6 weeks postoperative structural properties of soft tissue anterior cruciate ligament reconstructions with cross-pin or interference screw fixation: An in vivo study in sheep. Arthroscopy. 2007;23:14–20
  8. Siebold R. Observations on bone tunnel enlargement after double-bundle anterior cruciate ligament reconstruction. Arthroscopy. 2007;23:291–298
  9. Weiler A, Hoffmann RF, Siepe CJ, et al. The influence of screw geometry on hamstring tendon interference fit fixation. Am J Sports Med. 2000;28:356–359
  10. Weiler A, Richter M, Schmidmaier G, et al. The EndoPearl device increases fixation strength and eliminates construct slippage of hamstring tendon grafts with interference screw fixation. Arthroscopy. 2001;17:353–359
  11. Arneja S, Froese W, MacDonald P, et al. Augmentation of femoral fixation in hamstring anterior cruciate ligament reconstruction with a bioabsorbable bead. Am J Sports Med. 2004;32:159–163
  12. Jonson D. Anterior cruciate reconstruction using hamstring grafts fixed with BioScrews and augmented with the EndoPearl. Tech Orthop. 2005;20:264–271
  13. Spindler KP, Kuhn JE, Freedman KB, Matthews CE, Dittus RS, Harrell FE. Anterior cruciate ligament reconstruction autograft choice: Bone-tendon-bone versus hamstring: Does it really matter? (A systematic review). Am J Sports Med. 2004;32:1986–1995
  14. Espejo-Baena A, Ezquerro F, de la Blanca AP, Serrano-Fernandez J, Nadal F, Montanez-Heredia E. Comparison of initial mechanical properties of 4 hamstring graft femoral fixation systems using nonpermanent hardware for anterior cruciate ligament reconstruction: An in vitro animal study. Arthroscopy. 2006;22:433–440
  15. Jarvinen TL, Nurmi JT, Sievanen H. Bone density and insertion torque as predictors of anterior cruciate ligament graft fixation strength. Am J Sports Med. 2004;32:1421–1429
  16. Oh YH, Namkoong S, Strauss EJ, et al. Hybrid femoral fixation of soft-tissue grafts in anterior cruciate ligament reconstruction using the EndoButton CL and bioabsorbable interference screws: A biomechanical study. Arthroscopy. 2006;22:1218–1224

 The authors report no conflict of interest.

PII: S0749-8063(09)00502-7

doi: 10.1016/j.arthro.2009.05.011

Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 25, Issue 10 , Pages 1101-1107 , October 2009