ArticleIndian journal of orthopaedics2023
Low Femoral Tunnel Widening Incidence Rate After ACL Reconstruction Using Patellar Tendon Graft with Press-Fit Fixation.
Article in Indian journal of orthopaedics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Cortical Tibial Press-Fit Fixation Demonstrates Comparable Biomechanical Performance With Interference Screw Fixation in ACL Reconstruction: A Porcine Model Biomechanical Study.Orthopaedic journal of sports medicine · 2025Article
- Higher revision and secondary surgery rates after ACL reconstruction in athletes under 16 compared to those over 16: a case-control study.Journal of orthopaedic surgery and research · 2025Article
- Outcomes of remnant-preserving anterior cruciate ligament reconstruction using Achilles tendon allografts: A retrospective analysis of tibial tunnel widening and complications.Journal of experimental orthopaedics · 2025Article
- The Periosteum-Patellar Tendon-Bone Autograft for Anatomic, Single-Bundle Anterior Cruciate Ligament Reconstruction With Press-Fit Tibial Fixation.Arthroscopy techniques · 2024Article
- Neglected errors in ligament reconstruction surgery may increase graft-tunnel mismatch: A biomechanical study.PloS one · 2024Article
- Beneficial Effect of Curved Dilator System for Femoral Tunnel Creation in Preventing Femoral Tunnel Widening after Anterior Cruciate Ligament Reconstruction.Medicina (Kaunas, Lithuania) · 2023Article
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5 authors.
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Abstract
Background: Femoral tunnel widening after ACL reconstruction is a common phenomenon. We hypothesized that using a patellar tendon graft with a press-fit fixation technique without any fixation device reduces the incidence of femoral tunnel widening. Methods: This study was conducted on 467 patients with ACL surgery between 2003 and 2015. Two hundred and nineteen of them had an ACL surgery with patellar tendon (PT) graft, and two hundred and forty-eight of them with hamstring tendon (HS). Exclusion criteria were history of previous ACL reconstruction of either knee, multiple ligament injury, or evidence of osteoarthritis on radiographs. The femoral tunnels were measured on the anteroposterior (ap) and lateral radiographs 6 months after the operation. Two independent orthopedic surgeons measured all radiographs twice and recorded the tunnel widenings. We hypothesized that using an implant-free press-fit technique with PT graft can reduce the femoral tunnel widening incidence rate. Results: The mean incidence rate of the tunnel widening in the HS group was, on the AP and the lateral femoral views, 88% ( Conclusion: The femoral tunnel widening incidence rate during an ACL reconstruction is significantly less when using PT tendon with femoral press-fit fixation than when using HT tendon with suspensory fixation method.
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