Loading…
The interposition of soft tissue between the cortical button and femoral lateral cortex significantly increases button migration but does not negatively affect knee stability and clinical outcome
In clinical practice, soft tissue interposition may occur during femoral graft fixation. Soft tissue interposition between the lateral femoral cortex and the cortical button may affect graft tension and related longitudinal graft motion in the tunnel. We aimed to investigate the effect of soft tissu...
Saved in:
| Published in: | The knee 2020-06, Vol.27 (3), p.891-898 |
|---|---|
| Main Authors: | , , , , , |
| Format: | Article |
| Language: | English |
| Subjects: | |
| Citations: | Items that this one cites Items that cite this one |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| cited_by | cdi_FETCH-LOGICAL-c384t-46270a0da7c64faece6f6d2be5778e714408bbe0893268081ae789dc58c10a903 |
|---|---|
| cites | cdi_FETCH-LOGICAL-c384t-46270a0da7c64faece6f6d2be5778e714408bbe0893268081ae789dc58c10a903 |
| container_end_page | 898 |
| container_issue | 3 |
| container_start_page | 891 |
| container_title | The knee |
| container_volume | 27 |
| creator | Buyukkuscu, Mehmet Ozbey Misir, Abdulhamit Cetinkaya, Engin Ezici, Atakan Ozcafer, Rasit Gursu, Sukru Sarper |
| description | In clinical practice, soft tissue interposition may occur during femoral graft fixation. Soft tissue interposition between the lateral femoral cortex and the cortical button may affect graft tension and related longitudinal graft motion in the tunnel. We aimed to investigate the effect of soft tissue interposition on button migration and clinical outcomes in anatomical single-bundle anterior cruciate ligament reconstruction.
Eighty-four patients aged 18–40 years, who underwent anatomical single-bundle anterior cruciate ligament reconstruction with quadruple hamstring autograft were included. Patients were divided into two groups as Group 1 (n = 32) with soft tissue interposition between the cortical button and cortex, and Group 2 (n = 52) without soft tissue interposition. At the one-year follow-up visit, the anteroposterior knee stability of the patients was evaluated using the Lachman test and KT-2000 arthrometer, and rotational stability was assessed with the pivot shift test. The Lysholm knee score was used to evaluate the functional outcome of the patients. Relationship between tissue interposition and clinical outcome, and button migration was examined.
Button migration was observed in 12 patients in Group 1 (37.5%) and two patients (3.84%) in Group 2 (p |
| doi_str_mv | 10.1016/j.knee.2020.02.021 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2381841719</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0968016020300594</els_id><sourcerecordid>2419862679</sourcerecordid><originalsourceid>FETCH-LOGICAL-c384t-46270a0da7c64faece6f6d2be5778e714408bbe0893268081ae789dc58c10a903</originalsourceid><addsrcrecordid>eNp9kU2P0zAQhiMEYsvCH-CALHHh0jJ2UseRuKAVX9JKXJaz5Tjj4pLYxXZ26e_jjzFpdzlwQLI00vh53_mqqpccNhy4fLvf_AiIGwECNiDo8UfViqu2Xm8VwONqBZ1UayLhonqW8x4AZNdsn1YXtRDAoRGr6vfNd2Q-FEyHmH3xMbDoWI6usOJznpH1WO4QAysE2piKt2Zk_VwKoSYMzOEUE6VGQyYUFwZ_sex3wTuCQxmPVMEmNBnzg3Lyu2RO5SjBhkg_IRYWcEfZWySJcQ5tYcuILBfT-9GX46miHX04dRHnYuOEz6snzowZX9zHy-rbxw83V5_X118_fbl6f722tWrKupGiBQODaa1snEGL0slB9LhtW4UtbxpQfY-gulpIBYobbFU32K2yHEwH9WX15ux7SPHnjLnoyWeL42gCxjlrUSuuGt7yjtDX_6D7OKdA3WnR8E5JIduFEmfKpphzQqcPyU8mHTUHvZxY7_Uyv15OrEHQ4yR6dW899xMOfyUPNyXg3RlA2sWtx6Sz9RgsDj7RRvUQ_f_8_wCM1ryf</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2419862679</pqid></control><display><type>article</type><title>The interposition of soft tissue between the cortical button and femoral lateral cortex significantly increases button migration but does not negatively affect knee stability and clinical outcome</title><source>ScienceDirect Freedom Collection</source><creator>Buyukkuscu, Mehmet Ozbey ; Misir, Abdulhamit ; Cetinkaya, Engin ; Ezici, Atakan ; Ozcafer, Rasit ; Gursu, Sukru Sarper</creator><creatorcontrib>Buyukkuscu, Mehmet Ozbey ; Misir, Abdulhamit ; Cetinkaya, Engin ; Ezici, Atakan ; Ozcafer, Rasit ; Gursu, Sukru Sarper</creatorcontrib><description>In clinical practice, soft tissue interposition may occur during femoral graft fixation. Soft tissue interposition between the lateral femoral cortex and the cortical button may affect graft tension and related longitudinal graft motion in the tunnel. We aimed to investigate the effect of soft tissue interposition on button migration and clinical outcomes in anatomical single-bundle anterior cruciate ligament reconstruction.
Eighty-four patients aged 18–40 years, who underwent anatomical single-bundle anterior cruciate ligament reconstruction with quadruple hamstring autograft were included. Patients were divided into two groups as Group 1 (n = 32) with soft tissue interposition between the cortical button and cortex, and Group 2 (n = 52) without soft tissue interposition. At the one-year follow-up visit, the anteroposterior knee stability of the patients was evaluated using the Lachman test and KT-2000 arthrometer, and rotational stability was assessed with the pivot shift test. The Lysholm knee score was used to evaluate the functional outcome of the patients. Relationship between tissue interposition and clinical outcome, and button migration was examined.
Button migration was observed in 12 patients in Group 1 (37.5%) and two patients (3.84%) in Group 2 (p < 0.001). However, no significant difference was observed between patients with and without tissue interposition or those with and without button migration regarding knee stability parameters and clinical outcome (p < 0.05).
Postoperative tissue interposition is found to be associated with cortical button migration during the follow-up. However, it does not affect the clinical outcome.
•The presence of soft tissue between the cortical button and the lateral femoral cortex is a common problem in ACL reconstruction surgery.•There is no information about the frequency and effect of soft tissue interposition in single bundle ACL reconstruction in the literature.•Soft tissue interposition during the femoral fixation of the graft increases the risk of cortical button migration but without a negative effect on knee stability and clinical outcome in single bundle ACL reconstruction.</description><identifier>ISSN: 0968-0160</identifier><identifier>EISSN: 1873-5800</identifier><identifier>DOI: 10.1016/j.knee.2020.02.021</identifier><identifier>PMID: 32201042</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Adolescent ; Adult ; Anterior cruciate ligament ; Anterior Cruciate Ligament Reconstruction - methods ; Arthritis ; Autografts ; Clinical outcomes ; Cortex ; Cortical button ; Female ; Femur ; Follow-Up Studies ; Foreign-Body Migration - diagnostic imaging ; Humans ; Joint and ligament injuries ; Knee ; Knee Joint - diagnostic imaging ; Knee stability ; Male ; Malposition ; Migration ; Orthopedic Fixation Devices ; Radiography ; Reconstruction ; Statistical analysis ; Surgery ; Tendons - transplantation ; Young Adult</subject><ispartof>The knee, 2020-06, Vol.27 (3), p.891-898</ispartof><rights>2020 Elsevier B.V.</rights><rights>Copyright © 2020 Elsevier B.V. All rights reserved.</rights><rights>2020. Elsevier B.V.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c384t-46270a0da7c64faece6f6d2be5778e714408bbe0893268081ae789dc58c10a903</citedby><cites>FETCH-LOGICAL-c384t-46270a0da7c64faece6f6d2be5778e714408bbe0893268081ae789dc58c10a903</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32201042$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Buyukkuscu, Mehmet Ozbey</creatorcontrib><creatorcontrib>Misir, Abdulhamit</creatorcontrib><creatorcontrib>Cetinkaya, Engin</creatorcontrib><creatorcontrib>Ezici, Atakan</creatorcontrib><creatorcontrib>Ozcafer, Rasit</creatorcontrib><creatorcontrib>Gursu, Sukru Sarper</creatorcontrib><title>The interposition of soft tissue between the cortical button and femoral lateral cortex significantly increases button migration but does not negatively affect knee stability and clinical outcome</title><title>The knee</title><addtitle>Knee</addtitle><description>In clinical practice, soft tissue interposition may occur during femoral graft fixation. Soft tissue interposition between the lateral femoral cortex and the cortical button may affect graft tension and related longitudinal graft motion in the tunnel. We aimed to investigate the effect of soft tissue interposition on button migration and clinical outcomes in anatomical single-bundle anterior cruciate ligament reconstruction.
Eighty-four patients aged 18–40 years, who underwent anatomical single-bundle anterior cruciate ligament reconstruction with quadruple hamstring autograft were included. Patients were divided into two groups as Group 1 (n = 32) with soft tissue interposition between the cortical button and cortex, and Group 2 (n = 52) without soft tissue interposition. At the one-year follow-up visit, the anteroposterior knee stability of the patients was evaluated using the Lachman test and KT-2000 arthrometer, and rotational stability was assessed with the pivot shift test. The Lysholm knee score was used to evaluate the functional outcome of the patients. Relationship between tissue interposition and clinical outcome, and button migration was examined.
Button migration was observed in 12 patients in Group 1 (37.5%) and two patients (3.84%) in Group 2 (p < 0.001). However, no significant difference was observed between patients with and without tissue interposition or those with and without button migration regarding knee stability parameters and clinical outcome (p < 0.05).
Postoperative tissue interposition is found to be associated with cortical button migration during the follow-up. However, it does not affect the clinical outcome.
•The presence of soft tissue between the cortical button and the lateral femoral cortex is a common problem in ACL reconstruction surgery.•There is no information about the frequency and effect of soft tissue interposition in single bundle ACL reconstruction in the literature.•Soft tissue interposition during the femoral fixation of the graft increases the risk of cortical button migration but without a negative effect on knee stability and clinical outcome in single bundle ACL reconstruction.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Anterior cruciate ligament</subject><subject>Anterior Cruciate Ligament Reconstruction - methods</subject><subject>Arthritis</subject><subject>Autografts</subject><subject>Clinical outcomes</subject><subject>Cortex</subject><subject>Cortical button</subject><subject>Female</subject><subject>Femur</subject><subject>Follow-Up Studies</subject><subject>Foreign-Body Migration - diagnostic imaging</subject><subject>Humans</subject><subject>Joint and ligament injuries</subject><subject>Knee</subject><subject>Knee Joint - diagnostic imaging</subject><subject>Knee stability</subject><subject>Male</subject><subject>Malposition</subject><subject>Migration</subject><subject>Orthopedic Fixation Devices</subject><subject>Radiography</subject><subject>Reconstruction</subject><subject>Statistical analysis</subject><subject>Surgery</subject><subject>Tendons - transplantation</subject><subject>Young Adult</subject><issn>0968-0160</issn><issn>1873-5800</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9kU2P0zAQhiMEYsvCH-CALHHh0jJ2UseRuKAVX9JKXJaz5Tjj4pLYxXZ26e_jjzFpdzlwQLI00vh53_mqqpccNhy4fLvf_AiIGwECNiDo8UfViqu2Xm8VwONqBZ1UayLhonqW8x4AZNdsn1YXtRDAoRGr6vfNd2Q-FEyHmH3xMbDoWI6usOJznpH1WO4QAysE2piKt2Zk_VwKoSYMzOEUE6VGQyYUFwZ_sex3wTuCQxmPVMEmNBnzg3Lyu2RO5SjBhkg_IRYWcEfZWySJcQ5tYcuILBfT-9GX46miHX04dRHnYuOEz6snzowZX9zHy-rbxw83V5_X118_fbl6f722tWrKupGiBQODaa1snEGL0slB9LhtW4UtbxpQfY-gulpIBYobbFU32K2yHEwH9WX15ux7SPHnjLnoyWeL42gCxjlrUSuuGt7yjtDX_6D7OKdA3WnR8E5JIduFEmfKpphzQqcPyU8mHTUHvZxY7_Uyv15OrEHQ4yR6dW899xMOfyUPNyXg3RlA2sWtx6Sz9RgsDj7RRvUQ_f_8_wCM1ryf</recordid><startdate>202006</startdate><enddate>202006</enddate><creator>Buyukkuscu, Mehmet Ozbey</creator><creator>Misir, Abdulhamit</creator><creator>Cetinkaya, Engin</creator><creator>Ezici, Atakan</creator><creator>Ozcafer, Rasit</creator><creator>Gursu, Sukru Sarper</creator><general>Elsevier B.V</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>202006</creationdate><title>The interposition of soft tissue between the cortical button and femoral lateral cortex significantly increases button migration but does not negatively affect knee stability and clinical outcome</title><author>Buyukkuscu, Mehmet Ozbey ; Misir, Abdulhamit ; Cetinkaya, Engin ; Ezici, Atakan ; Ozcafer, Rasit ; Gursu, Sukru Sarper</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c384t-46270a0da7c64faece6f6d2be5778e714408bbe0893268081ae789dc58c10a903</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Anterior cruciate ligament</topic><topic>Anterior Cruciate Ligament Reconstruction - methods</topic><topic>Arthritis</topic><topic>Autografts</topic><topic>Clinical outcomes</topic><topic>Cortex</topic><topic>Cortical button</topic><topic>Female</topic><topic>Femur</topic><topic>Follow-Up Studies</topic><topic>Foreign-Body Migration - diagnostic imaging</topic><topic>Humans</topic><topic>Joint and ligament injuries</topic><topic>Knee</topic><topic>Knee Joint - diagnostic imaging</topic><topic>Knee stability</topic><topic>Male</topic><topic>Malposition</topic><topic>Migration</topic><topic>Orthopedic Fixation Devices</topic><topic>Radiography</topic><topic>Reconstruction</topic><topic>Statistical analysis</topic><topic>Surgery</topic><topic>Tendons - transplantation</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Buyukkuscu, Mehmet Ozbey</creatorcontrib><creatorcontrib>Misir, Abdulhamit</creatorcontrib><creatorcontrib>Cetinkaya, Engin</creatorcontrib><creatorcontrib>Ezici, Atakan</creatorcontrib><creatorcontrib>Ozcafer, Rasit</creatorcontrib><creatorcontrib>Gursu, Sukru Sarper</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>The knee</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Buyukkuscu, Mehmet Ozbey</au><au>Misir, Abdulhamit</au><au>Cetinkaya, Engin</au><au>Ezici, Atakan</au><au>Ozcafer, Rasit</au><au>Gursu, Sukru Sarper</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The interposition of soft tissue between the cortical button and femoral lateral cortex significantly increases button migration but does not negatively affect knee stability and clinical outcome</atitle><jtitle>The knee</jtitle><addtitle>Knee</addtitle><date>2020-06</date><risdate>2020</risdate><volume>27</volume><issue>3</issue><spage>891</spage><epage>898</epage><pages>891-898</pages><issn>0968-0160</issn><eissn>1873-5800</eissn><abstract>In clinical practice, soft tissue interposition may occur during femoral graft fixation. Soft tissue interposition between the lateral femoral cortex and the cortical button may affect graft tension and related longitudinal graft motion in the tunnel. We aimed to investigate the effect of soft tissue interposition on button migration and clinical outcomes in anatomical single-bundle anterior cruciate ligament reconstruction.
Eighty-four patients aged 18–40 years, who underwent anatomical single-bundle anterior cruciate ligament reconstruction with quadruple hamstring autograft were included. Patients were divided into two groups as Group 1 (n = 32) with soft tissue interposition between the cortical button and cortex, and Group 2 (n = 52) without soft tissue interposition. At the one-year follow-up visit, the anteroposterior knee stability of the patients was evaluated using the Lachman test and KT-2000 arthrometer, and rotational stability was assessed with the pivot shift test. The Lysholm knee score was used to evaluate the functional outcome of the patients. Relationship between tissue interposition and clinical outcome, and button migration was examined.
Button migration was observed in 12 patients in Group 1 (37.5%) and two patients (3.84%) in Group 2 (p < 0.001). However, no significant difference was observed between patients with and without tissue interposition or those with and without button migration regarding knee stability parameters and clinical outcome (p < 0.05).
Postoperative tissue interposition is found to be associated with cortical button migration during the follow-up. However, it does not affect the clinical outcome.
•The presence of soft tissue between the cortical button and the lateral femoral cortex is a common problem in ACL reconstruction surgery.•There is no information about the frequency and effect of soft tissue interposition in single bundle ACL reconstruction in the literature.•Soft tissue interposition during the femoral fixation of the graft increases the risk of cortical button migration but without a negative effect on knee stability and clinical outcome in single bundle ACL reconstruction.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>32201042</pmid><doi>10.1016/j.knee.2020.02.021</doi><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0968-0160 |
| ispartof | The knee, 2020-06, Vol.27 (3), p.891-898 |
| issn | 0968-0160 1873-5800 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2381841719 |
| source | ScienceDirect Freedom Collection |
| subjects | Adolescent Adult Anterior cruciate ligament Anterior Cruciate Ligament Reconstruction - methods Arthritis Autografts Clinical outcomes Cortex Cortical button Female Femur Follow-Up Studies Foreign-Body Migration - diagnostic imaging Humans Joint and ligament injuries Knee Knee Joint - diagnostic imaging Knee stability Male Malposition Migration Orthopedic Fixation Devices Radiography Reconstruction Statistical analysis Surgery Tendons - transplantation Young Adult |
| title | The interposition of soft tissue between the cortical button and femoral lateral cortex significantly increases button migration but does not negatively affect knee stability and clinical outcome |
| url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-10T12%3A45%3A10IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20interposition%20of%20soft%20tissue%20between%20the%20cortical%20button%20and%20femoral%20lateral%20cortex%20significantly%20increases%20button%20migration%20but%20does%20not%20negatively%20affect%20knee%20stability%20and%20clinical%20outcome&rft.jtitle=The%20knee&rft.au=Buyukkuscu,%20Mehmet%20Ozbey&rft.date=2020-06&rft.volume=27&rft.issue=3&rft.spage=891&rft.epage=898&rft.pages=891-898&rft.issn=0968-0160&rft.eissn=1873-5800&rft_id=info:doi/10.1016/j.knee.2020.02.021&rft_dat=%3Cproquest_cross%3E2419862679%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c384t-46270a0da7c64faece6f6d2be5778e714408bbe0893268081ae789dc58c10a903%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2419862679&rft_id=info:pmid/32201042&rfr_iscdi=true |