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Graft fixation influences revision risk after ACL reconstruction with hamstring tendon autografts.

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  • معلومة اضافية
    • Subject Terms:
    • NAICS/Industry Codes:
      339112 Surgical and Medical Instrument Manufacturing
    • Abstract:
      Background and purpose — A large number of fixation methods of hamstring tendon autograft (HT) are available for anterior cruciate ligament reconstruction (ACLR). Some studies report an association between fixation method and the risk of revision ACLR. We compared the risk of revision of various femoral and tibial fixation methods used for HT in Scandinavia 2004-2011.Materials and methods — A register-based study of 38,666 patients undergoing primary ACLRs with HT, with 1,042 revision ACLRs. The overall median follow-up time was 2.8 (0-8) years. Fixation devices used in a small number of patients were grouped according to design and the point of fixation.Results — The most common fixation methods were Endobutton (36%) and Rigidfix (31%) in the femur; and interference screw (48%) and Intrafix (34%) in the tibia. In a multivariable Cox regression model, the transfemoral fixations Rigidfix and Transfix had a lower risk of revision (HR 0.7 [95% CI 0.6-0.8] and 0.7 [CI 0.6-0.9] respectively) compared with Endobutton. In the tibia the retro interference screw had a higher risk of revision (HR 1.9 [CI 1.3-2.9]) compared with an interference screw.Interpretation — The choice of graft fixation influences the risk of revision after primary ACLR with hamstring tendon autograft. [ABSTRACT FROM AUTHOR]
    • Abstract:
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    • Author Affiliations:
      1Department of Orthopaedic Surgery, Haukeland University Hospital, Bergen, Norway
      2University of Bergen, Faculty of Medicine and Dentistry, Department of Clinical Medicine, Bergen, Norway
      3Department of Orthopaedic Surgery, Trondheim University Hospital, Trondheim, Norway
      4Norwegian University of Science and Technology, Trondheim, Norway
      5Department of Orthopaedics, Aarhus University Hospital, Aarhus, Denmark
      6Department of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway
      7Faculty of Medicine, University of Oslo, Oslo, Norway
      8Oslo Sports Trauma Center, Norwegian School of Sport Sciences, Oslo, Norway
      9Stockholm Sports Trauma Research Center, Karolinska Institutet, Stockholm, Sweden
      10Centre for Evidence-Based Practice, Bergen University College, Bergen, Norway
    • Full Text Word Count:
      5228
    • ISSN:
      1745-3674
    • Accession Number:
      10.1080/17453674.2017.1406243
    • Accession Number:
      128907196
  • Citations
    • ABNT:
      PERSSON, A. et al. Graft fixation influences revision risk after ACL reconstruction with hamstring tendon autografts. Acta Orthopaedica, [s. l.], v. 89, n. 2, p. 204–210, 2018. DOI 10.1080/17453674.2017.1406243. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=128907196&custid=s8280428. Acesso em: 1 abr. 2020.
    • AMA:
      Persson A, Gifstad T, Lind M, et al. Graft fixation influences revision risk after ACL reconstruction with hamstring tendon autografts. Acta Orthopaedica. 2018;89(2):204-210. doi:10.1080/17453674.2017.1406243.
    • APA:
      Persson, A., Gifstad, T., Lind, M., Engebretsen, L., Fjeldsgaard, K., Drogset, J. O., Forssblad, M., Espehaug, B., Kjellsen, A. B., & Fevang, J. M. (2018). Graft fixation influences revision risk after ACL reconstruction with hamstring tendon autografts. Acta Orthopaedica, 89(2), 204–210. https://doi.org/10.1080/17453674.2017.1406243
    • Chicago/Turabian: Author-Date:
      Persson, Andreas, Tone Gifstad, Martin Lind, Lars Engebretsen, Knut Fjeldsgaard, Jon Olav Drogset, Magnus Forssblad, Birgitte Espehaug, Asle B Kjellsen, and Jonas M Fevang. 2018. “Graft Fixation Influences Revision Risk after ACL Reconstruction with Hamstring Tendon Autografts.” Acta Orthopaedica 89 (2): 204–10. doi:10.1080/17453674.2017.1406243.
    • Harvard:
      Persson, A. et al. (2018) ‘Graft fixation influences revision risk after ACL reconstruction with hamstring tendon autografts’, Acta Orthopaedica, 89(2), pp. 204–210. doi: 10.1080/17453674.2017.1406243.
    • Harvard: Australian:
      Persson, A, Gifstad, T, Lind, M, Engebretsen, L, Fjeldsgaard, K, Drogset, JO, Forssblad, M, Espehaug, B, Kjellsen, AB & Fevang, JM 2018, ‘Graft fixation influences revision risk after ACL reconstruction with hamstring tendon autografts’, Acta Orthopaedica, vol. 89, no. 2, pp. 204–210, viewed 1 April 2020, .
    • MLA:
      Persson, Andreas, et al. “Graft Fixation Influences Revision Risk after ACL Reconstruction with Hamstring Tendon Autografts.” Acta Orthopaedica, vol. 89, no. 2, Apr. 2018, pp. 204–210. EBSCOhost, doi:10.1080/17453674.2017.1406243.
    • Chicago/Turabian: Humanities:
      Persson, Andreas, Tone Gifstad, Martin Lind, Lars Engebretsen, Knut Fjeldsgaard, Jon Olav Drogset, Magnus Forssblad, Birgitte Espehaug, Asle B Kjellsen, and Jonas M Fevang. “Graft Fixation Influences Revision Risk after ACL Reconstruction with Hamstring Tendon Autografts.” Acta Orthopaedica 89, no. 2 (April 2018): 204–10. doi:10.1080/17453674.2017.1406243.
    • Vancouver/ICMJE:
      Persson A, Gifstad T, Lind M, Engebretsen L, Fjeldsgaard K, Drogset JO, et al. Graft fixation influences revision risk after ACL reconstruction with hamstring tendon autografts. Acta Orthopaedica [Internet]. 2018 Apr [cited 2020 Apr 1];89(2):204–10. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=128907196&custid=s8280428