Single-Bundle Anterior Cruciate Ligament Reconstruction with Semitendinosus Tendon Using the PINN-ACL CrossPin System: Minimum 4-Year Follow-up
10.5792/ksrr.2015.27.1.43
- Author:
Hee Soo KYUNG
1
;
Seung Gil BAEK
;
Byoung Joo LEE
;
Chang Hwa LEE
Author Information
1. Department of Orthopaedic Surgery, Kyungpook National University Hospital, Kyungpook National University School of Medicine, Daegu, Korea. hskyung@knu.ac.kr
- Publication Type:Original Article
- Keywords:
Anterior cruciate ligament;
Reconstruction;
Semitendinosus tendon;
PINN-ACL CrossPin
- MeSH:
Anterior Cruciate Ligament;
Anterior Cruciate Ligament Reconstruction;
Follow-Up Studies;
Humans;
Knee;
Tendons;
Transplants
- From:The Journal of Korean Knee Society
2015;27(1):43-48
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: This study evaluated mid-term results of anterior cruciate ligament (ACL) reconstruction using the PINN-ACL CrossPin system that allowed for short graft fixation. MATERIALS AND METHODS: Forty-three patients underwent single-bundle ACL reconstruction with a 4-strand semitendinosus tendon graft using the PINN-ACL CrossPin system. Femoral fixation was done using the PINN-ACL CrossPin system, and the tibial side was fixed with post-tie and a bioabsorbable interference screw. The mean follow-up period was 50 months. Evaluation was done using the Lachman test, pivot-shift test, International Knee Documentation Committee (IKDC) score and grade. Anterior displacement was assessed. RESULTS: There was improvement in the Lachman test and pivot-shift test at final follow-up, form grade II (n=40) or III (n=3) to grade I (n=3) or 0 (n=40) and from grade I (n=20) or II (n=10) to grade I (n=8) or 0 (n=22), respectively. The mean IKDC score was 88.7, and grade A and B were 93.0% at final follow-up. Side-to-side difference was improved from 6.7 mm to 2.1 mm at final follow-up. Complications occurred in 3 patients, a re-ruptured due to trauma at 2 years after surgery and a deep infection and a superficial infection. CONCLUSIONS: The mid-term follow-up results of ACL reconstruction with the PINN-ACL CrossPin system were satisfactory. The PINN-ACL CrossPin can be considered as a useful instrument for short graft fixation.
