Az elülso&amp;huml; keresztszalag pótlásnál alkalmazott femoralis press-fit rögzítés: Kadáver térdek biomechanikai és a módszerrel végzett mu&amp;huml;tétek klinikai eredményeinek prospektív vizsgálata
The rupture of the anterior cruciate ligament is a serious knee injury, which frequently refers to young patients capable of working. The surgical reconstruction has rapidly developed for the last decades due to the developments in the technical possibilities and the thousands of scientific studies on this topic. Because of the improving results more and more ACL reconstructions have been performed all over the world, however, there are a lot of debates about how to treat ACL injured patients.
The main goal of our study is to prove that the femoral press-fit technique is an appropriate method for bone-patellar tendon graft fixation. Based on the biomechanical measurements and the clinical results the most important conclusion of the summary is that the femoral press-fit fixation technique is a proper, alternative method for graft fixation in ACL plasty.
The study entirely fulfilled its purposes, namely produced a biomechanical basis for the femoral press-fit fixation by summarizing the results of cadaver and animal measurements. The good biomechanical properties were supported by the histological issues of our study.
The results of our midterm, prospective follow-up study on 285 patients corresponds with the published data of the international literature. After the operation our patients were able to return to sports activity in high rate. With the knowledge of these facts the application of the accelerated rehabilitation protocol - used successfully at the interference fixation technique - became possible also at the press-fit fixation group.
Many disadvantages with the use of metal or absorbable material can be avoided with the application of the press-fit fixation technique, while it is not necessary to modify the postoperative rehabilitation protocol. The significant reduction of expenses with the use of this method is also not negligible. Thus, an accelerated rehabilitation of the patients can be performed after ACL reconstruction accordingly the modern professional principles; and there is a good chance to return to work and sport as early as possible according to the demands of present times.
Anatomy & physiology;
0433: Anatomy & physiology