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Cyclic testing of tibialis tendon allografts for anterior cruciate ligament reconstruction using suture-post versus spiked washer tibial fixation.

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  • معلومة اضافية
    • Author-Supplied Keywords:
      ACL reconstruction
      Cyclic testing
      Graft fixation
    • Abstract:
      The purpose of this study was to directly compare spiked washer and suture-post tibial-sided fixation techniques used for anterior cruciate ligament reconstruction by measuring anterior tibial translation during cyclic tests. Fresh-frozen human knees were tested using a robotic system that applied 250 cycles of anterior-posterior tibial force (134 N) at 30° flexion, while recording tibial translation. Ten intact knees were tested to collect baseline data for native specimens. A single knee was selected to test ligament reconstructions using doubled tibialis tendon allografts. All grafts were fixed proximally using an EndoButton™, and the tibial end of the graft was fixed with either a spiked washer or with a suture post placed at two different locations (near and distant) relative to the tibial tunnel. Mean first cycle translation for intact knees was 4.8 (sd 1.8) mm; means after reconstruction were 2.6 (sd 0.9) mm (spiked washer), 10.1 (sd 1.9) mm (suture post near), and 10.4 (sd 1.5) mm (suture post distant). Corresponding means for translation increase over 250 cycles were 0.3 (sd 0.2) mm, 3.6 (sd 1.3) mm, 7.2 mm (sd 0.9) mm, and 8.0 (sd 1.3) mm. All mean increases (first cycle and cyclic) after ACL reconstruction were significantly greater than those for the intact knees, and all means with a suture post were significantly greater than those with a spiked washer. There were no significant differences between mean translations for near and distant suture post locations. Use of suture post fixation for anterior cruciate ligament reconstruction is questioned since increases in anterior tibial translation could lead to excessive post-operative knee laxity and possibly early clinical failure. • Compared spiked washer vs. suture-post fixation for anterior cruciate ligament graft • Increases in tibial translation with graft significantly greater than intact knee • Tibial translations with suture post greater than spiked washer. • No differences in tibial translations between near and distant suture post locations • Suture post tibial fixation for an anterior cruciate ligament graft is questioned [ABSTRACT FROM AUTHOR]
    • Abstract:
      Copyright of Clinical Biomechanics is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
    • Author Affiliations:
      1Department of Orthopaedic Surgery, David Geffen School of Medicine at UCLA, 10833 Le Conte Ave, 76-143 CHS, Los Angeles, CA 90095, USA
    • ISSN:
      0268-0033
    • Accession Number:
      10.1016/j.clinbiomech.2019.07.025
    • Accession Number:
      140376402
  • Citations
    • ABNT:
      MARKOLF, K. L. et al. Cyclic testing of tibialis tendon allografts for anterior cruciate ligament reconstruction using suture-post versus spiked washer tibial fixation. Clinical Biomechanics, [s. l.], v. 70, p. 8–15, 2019. DOI 10.1016/j.clinbiomech.2019.07.025. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=140376402&custid=s8280428. Acesso em: 5 abr. 2020.
    • AMA:
      Markolf KL, Wang D, Joshi NB, Cheung E, Petrigliano FA, McAllister DR. Cyclic testing of tibialis tendon allografts for anterior cruciate ligament reconstruction using suture-post versus spiked washer tibial fixation. Clinical Biomechanics. 2019;70:8-15. doi:10.1016/j.clinbiomech.2019.07.025.
    • APA:
      Markolf, K. L., Wang, D., Joshi, N. B., Cheung, E., Petrigliano, F. A., & McAllister, D. R. (2019). Cyclic testing of tibialis tendon allografts for anterior cruciate ligament reconstruction using suture-post versus spiked washer tibial fixation. Clinical Biomechanics, 70, 8–15. https://doi.org/10.1016/j.clinbiomech.2019.07.025
    • Chicago/Turabian: Author-Date:
      Markolf, Keith L., Dean Wang, Nirav B. Joshi, Edward Cheung, Frank A. Petrigliano, and David R. McAllister. 2019. “Cyclic Testing of Tibialis Tendon Allografts for Anterior Cruciate Ligament Reconstruction Using Suture-Post versus Spiked Washer Tibial Fixation.” Clinical Biomechanics 70 (December): 8–15. doi:10.1016/j.clinbiomech.2019.07.025.
    • Harvard:
      Markolf, K. L. et al. (2019) ‘Cyclic testing of tibialis tendon allografts for anterior cruciate ligament reconstruction using suture-post versus spiked washer tibial fixation’, Clinical Biomechanics, 70, pp. 8–15. doi: 10.1016/j.clinbiomech.2019.07.025.
    • Harvard: Australian:
      Markolf, KL, Wang, D, Joshi, NB, Cheung, E, Petrigliano, FA & McAllister, DR 2019, ‘Cyclic testing of tibialis tendon allografts for anterior cruciate ligament reconstruction using suture-post versus spiked washer tibial fixation’, Clinical Biomechanics, vol. 70, pp. 8–15, viewed 5 April 2020, .
    • MLA:
      Markolf, Keith L., et al. “Cyclic Testing of Tibialis Tendon Allografts for Anterior Cruciate Ligament Reconstruction Using Suture-Post versus Spiked Washer Tibial Fixation.” Clinical Biomechanics, vol. 70, Dec. 2019, pp. 8–15. EBSCOhost, doi:10.1016/j.clinbiomech.2019.07.025.
    • Chicago/Turabian: Humanities:
      Markolf, Keith L., Dean Wang, Nirav B. Joshi, Edward Cheung, Frank A. Petrigliano, and David R. McAllister. “Cyclic Testing of Tibialis Tendon Allografts for Anterior Cruciate Ligament Reconstruction Using Suture-Post versus Spiked Washer Tibial Fixation.” Clinical Biomechanics 70 (December 2019): 8–15. doi:10.1016/j.clinbiomech.2019.07.025.
    • Vancouver/ICMJE:
      Markolf KL, Wang D, Joshi NB, Cheung E, Petrigliano FA, McAllister DR. Cyclic testing of tibialis tendon allografts for anterior cruciate ligament reconstruction using suture-post versus spiked washer tibial fixation. Clinical Biomechanics [Internet]. 2019 Dec [cited 2020 Apr 5];70:8–15. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=140376402&custid=s8280428