ARTICLE –
abstractThe
use of absorbable screws in the anterior cruciate ligament arthroscopic
reconstruction in athletes. A comparative and prospective
clinical study Patru Cristina1,
Filipescu Doru2, Buzescu Alexandru3,
Ionescu Anca Mirela4, Popescu Gheorghe1,
Lupescu Olivera1, Nagea Mihai1,
Gherghel Liliana3 1Floreasca
Emergency Clinical Hospital, Orthopedic Department, Bucharest 2Sf.
Ioan Emergency Clinical Hospital, Orthopedic Department,
Bucharest 3National
University for Physical Education and Sport, Bucharest, 4Carol
Davila University of Medicine, Sports Medicine Department,
Bucharest, Romania
Abstract
We
conducted this clinical study in order to compare the quality of graft
fixation with a bioabsorbable screw, as compared to a metal screw, in
the anterior cruciate ligament reconstruction. A number of 124 patients
were submitted to the surgical intervention and 113 out of them were
kept under medical survey up to 1 year after the surgery. This
included: anamnesis, physical examination, IKDC evaluation and the knee
arthrometric measurements. 1 year later, there was no significant
difference between the two groups, from the IKDC evaluation point of
view. The final IKDC evaluation was normal or almost normal in 92% out
of the patients in the group with absorbable screws and in 90% out of
the patients making part of the control group. The incidence of
postsurgery complications was similar in both of the groups. The study
shows that the absorbable screw is an efficient alternative to the
fixation with a metal screw in the anterior cruciate ligament
reconstruction.
Key
words:ACL,
bioabsorbable screw, metal screw, arthroscopic reconstruction, sports
traumatology
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