ArticleJournal of experimental orthopaedics2022
Bone density may affect primary stability of anterior cruciate ligament reconstruction when organic core bone plug fixation technique used.
Article in Journal of experimental orthopaedics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed, 3 citations in OpenAlex.
- The Clinical Significance of Femoral and Tibial Anatomy for Anterior Cruciate Ligament Injury and ReconstructionCurrent medical imaging · 2025Review
- Effect of the core bone engaged length on the BASHTI fixation strength, an in-vitro study on bovine tendons using identical-density surrogate bones.BMC musculoskeletal disorders · 2023Article
- Sheathed fixation improves BASHTI technique in an anterior cruciate ligament reconstruction.Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine · 2023Article
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeCore Bone Plug Fixation (CBPF) technique is an implant-less methodology for ACL reconstruction. This study investigates the effect of bone density on CBPF stability to identify the bone quality that is likely to benefit from this technique.
methodsArtificial blocks with 160 (Group 1), 240 (Group 2), and 320 (Group 3) kg/m
resultsThe Group 2 stiffness and yield strength were significantly larger than Group 1. The graft slippage of Group 1 was significantly less than Group 3. The ultimate strengths were 310 N and 363 N, in Groups 2 and 3, significantly larger than that of Group 1. The ultimate strength in fixation by interference screw was 693.18 N, significantly larger than the bone plug method.
conclusionsThe stability of CBPF was greatly affected by bone density. This technique is more suitable for young and middle-aged people. With further improvements, the CBPF might be an alternative ACL reconstruction technique for patients with good bone quality. CLINICAL RELEVANCE: The CBPF technique offers an implant-less organic ACL reconstruction technique with numerous advantages and likely would speed up the healing process by using the patient's own bones and tissues rather than any non-biologic fixations.
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Registered trials
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