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Does an Adjustable-Loop Device Loosen following ACL Reconstruction with a Hamstring Graft? A Retrospective Study with a Follow-Up of Two Years

Arthroscopic anatomic anterior cruciate ligament reconstruction (ACLR) is the gold standard treatment for an ACL tear and requires the use of fixed or adjustable-loop devices to fix a femoral-side graft. Although the adjustable mechanism is designed to provide one-way tensioning, there is a concern...

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Autores principales: Khan, Mohammad Jesan, Asif, Naiyer, Aziz, Mohd Hadi, Raza, Ariz, Anwar, Shahzad, Nuhmani, Shibili, Alghadir, Ahmad H., Khan, Masood
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9267585/
https://www.ncbi.nlm.nih.gov/pubmed/35806933
http://dx.doi.org/10.3390/jcm11133648
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author Khan, Mohammad Jesan
Asif, Naiyer
Aziz, Mohd Hadi
Raza, Ariz
Anwar, Shahzad
Nuhmani, Shibili
Alghadir, Ahmad H.
Khan, Masood
author_facet Khan, Mohammad Jesan
Asif, Naiyer
Aziz, Mohd Hadi
Raza, Ariz
Anwar, Shahzad
Nuhmani, Shibili
Alghadir, Ahmad H.
Khan, Masood
author_sort Khan, Mohammad Jesan
collection PubMed
description Arthroscopic anatomic anterior cruciate ligament reconstruction (ACLR) is the gold standard treatment for an ACL tear and requires the use of fixed or adjustable-loop devices to fix a femoral-side graft. Although the adjustable mechanism is designed to provide one-way tensioning, there is a concern that the adjustable loop will loosen and lengthen during cyclic loads, creating graft laxity. The present paper is a retrospective study of patients who underwent ACLR with the fixation of a hamstring graft with an adjustable loop on the femoral side from November 2016 to October 2018. The knee’s functional outcome was evaluated using an International Knee Documentation Committee (IKDC) score, Lysholm score, Lachman test, and pivot shift test. The patients were assessed preoperatively and finally postoperatively after two years of surgery. Thirty-two patients were analyzed. Significant improvement was obtained in the final clinical outcome of the patients. Twenty-seven patients (84.4%) were Lachman negative, and twenty-eight patients (87.5%) were pivot shift test negative, the mean Lysholm score was 96.91, and the IKDC score was 91.47 (p < 0.001). There was no infection, graft failure, or flexion restriction. Arthroscopic ACLR with an adjustable-loop suspensory device is a successful fixation method for femoral-side graft fixation and offers a similar functional outcome as with fixed-loop devices.
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spelling pubmed-92675852022-07-09 Does an Adjustable-Loop Device Loosen following ACL Reconstruction with a Hamstring Graft? A Retrospective Study with a Follow-Up of Two Years Khan, Mohammad Jesan Asif, Naiyer Aziz, Mohd Hadi Raza, Ariz Anwar, Shahzad Nuhmani, Shibili Alghadir, Ahmad H. Khan, Masood J Clin Med Article Arthroscopic anatomic anterior cruciate ligament reconstruction (ACLR) is the gold standard treatment for an ACL tear and requires the use of fixed or adjustable-loop devices to fix a femoral-side graft. Although the adjustable mechanism is designed to provide one-way tensioning, there is a concern that the adjustable loop will loosen and lengthen during cyclic loads, creating graft laxity. The present paper is a retrospective study of patients who underwent ACLR with the fixation of a hamstring graft with an adjustable loop on the femoral side from November 2016 to October 2018. The knee’s functional outcome was evaluated using an International Knee Documentation Committee (IKDC) score, Lysholm score, Lachman test, and pivot shift test. The patients were assessed preoperatively and finally postoperatively after two years of surgery. Thirty-two patients were analyzed. Significant improvement was obtained in the final clinical outcome of the patients. Twenty-seven patients (84.4%) were Lachman negative, and twenty-eight patients (87.5%) were pivot shift test negative, the mean Lysholm score was 96.91, and the IKDC score was 91.47 (p < 0.001). There was no infection, graft failure, or flexion restriction. Arthroscopic ACLR with an adjustable-loop suspensory device is a successful fixation method for femoral-side graft fixation and offers a similar functional outcome as with fixed-loop devices. MDPI 2022-06-24 /pmc/articles/PMC9267585/ /pubmed/35806933 http://dx.doi.org/10.3390/jcm11133648 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Khan, Mohammad Jesan
Asif, Naiyer
Aziz, Mohd Hadi
Raza, Ariz
Anwar, Shahzad
Nuhmani, Shibili
Alghadir, Ahmad H.
Khan, Masood
Does an Adjustable-Loop Device Loosen following ACL Reconstruction with a Hamstring Graft? A Retrospective Study with a Follow-Up of Two Years
title Does an Adjustable-Loop Device Loosen following ACL Reconstruction with a Hamstring Graft? A Retrospective Study with a Follow-Up of Two Years
title_full Does an Adjustable-Loop Device Loosen following ACL Reconstruction with a Hamstring Graft? A Retrospective Study with a Follow-Up of Two Years
title_fullStr Does an Adjustable-Loop Device Loosen following ACL Reconstruction with a Hamstring Graft? A Retrospective Study with a Follow-Up of Two Years
title_full_unstemmed Does an Adjustable-Loop Device Loosen following ACL Reconstruction with a Hamstring Graft? A Retrospective Study with a Follow-Up of Two Years
title_short Does an Adjustable-Loop Device Loosen following ACL Reconstruction with a Hamstring Graft? A Retrospective Study with a Follow-Up of Two Years
title_sort does an adjustable-loop device loosen following acl reconstruction with a hamstring graft? a retrospective study with a follow-up of two years
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9267585/
https://www.ncbi.nlm.nih.gov/pubmed/35806933
http://dx.doi.org/10.3390/jcm11133648
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