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Press-fit fixation in reconstruction of anterior cruciate ligament, using bone–patellar tendon–bone graft

  • Knee
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

We studied arthroscopic reconstruction of the anterior cruciate ligament (ACL) using patellar ligament-bone graft fixed to the femur by press-fit technique. The main feature of this technique was a stable bony fixation on the femoral site without using interference screws or other fixation devices. We treated 42 patients with ACL rupture by this technique; clinical examination was carried out preoperatively and at 3 months, 6 months, and then every 6 months using the standard criteria for evaluation of the IKDC (mean follow-up 29 months, 22–41). CT and MRI were performed 6 months postoperatively. According to IKDC score 37 knee (88%) were graded as normal or nearly normal, 4 (10%) as abnormal, and one (2%) as severely abnormal, none of the poor results was due to instability. Reconstruction of the ACL by press-fit technique is a more anatomically oriented method of fixation without the complications of interference screws at the femoral attachment of the graft.

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Authors and Affiliations

  1. Orthopedic Department, Saudi German Hospital, P.O. Box 2550, 21461, Jeddah, Saudi Arabia

    Moustafa Al-Husseiny & Khaled Batterjee

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  1. Moustafa Al-Husseiny
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  2. Khaled Batterjee
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Correspondence to Moustafa Al-Husseiny.

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Al-Husseiny, M., Batterjee, K. Press-fit fixation in reconstruction of anterior cruciate ligament, using bone–patellar tendon–bone graft. Knee Surg Sports Traumatol Arthrosc 12, 104–109 (2004). https://doi.org/10.1007/s00167-003-0419-y

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  • DOI: https://doi.org/10.1007/s00167-003-0419-y

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