Bioabsorbable screws versus metallic interference screw fixation in anterior cruciate ligament reconstruction using hamstring autograft: comparative analysis of functional outcome

Authors

  • Vivekanand D. Hiremath Department of Orthopedics, The Oxford medical College Hospital and Research Centre Bangalore, Karnataka, India
  • Akshay Tegginamath Department of Orthopedics, The Oxford medical College Hospital and Research Centre Bangalore, Karnataka, India
  • Abdul Qadeer Patwegar Department of Orthopedics, The Oxford medical College Hospital and Research Centre Bangalore, Karnataka, India
  • Satish Kumar C. Department of Orthopedics, The Oxford medical College Hospital and Research Centre Bangalore, Karnataka, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20231627

Keywords:

Anterior cruciate ligament reconstruction, Bioabsorbable interference screw, Functional outcome, Hamstring autograft, Metallic interference screw

Abstract

Background: This prospective comparative study aimed to evaluate the functional outcomes of bioabsorbable screws versus titanium interference screws for anterior cruciate ligament (ACL) reconstruction using hamstring autograft.

Methods: The study included 30 patients who underwent ACL reconstruction with a quadrupled hamstring graft; 15 were fixed with titanium interference screws and 15 with bioabsorbable screws. The patients were followed up for six months post-surgery. The functional outcomes were evaluated using the Lysholm score. The data were analyzed using SPSS version 22.0.

Results: There was no significant difference in the functional outcomes between the two groups at the six-month follow-up.

Conclusions: Our study shows that there was no difference in functional outcome whether bioabsorbable or titanium interference screw was used. The success of ACL reconstruction depends on the correct technique used for the surgery, precise placement of graft and rehabilitation methods than on type of graft fixation device used, neither titanium nor bioabsorbable screws.

References

Aga C, Rasmussen MT, Smith SD, Jansson KS, LaPrade RF, Engebretsen L, et al. Biomechanical comparison of interference screws and combination screw and sheath devices for soft tissue anterior cruciate ligament reconstruction on the tibial side. Am J Sports Med. 2013;41(4):841-8.

Nuelle CW, Rangavajjula AV, Riley MA. Risk of hardware complications with bioabsorbable versus titanium screws after anterior cruciate ligament reconstruction: a systematic review and meta-analysis. Orthop J Sports Med. 2019;7(12):2325967119890138.

Liow RY, Tavares S, Nobre L. Comparison of bioabsorbable and metallic interference screws in anterior cruciate ligament reconstruction: a meta-analysis. Arthroscopy. 2016;32(1):198-209.

Chen L, Dong J, Zhang T. Bioabsorbable screws versus metallic interference screws for anterior cruciate ligament reconstruction: a meta-analysis of randomized controlled trials. J Orthop Surg Res. 2021;16(1):177.

Shino K, Kimura T, Hirose H. Replacement of the anterior cruciate ligament using a patellar tendon allograft. An evaluation of the graft shape change. Knee Surg Sports Traumatol Arthrosc. 1995;3(3):168-73.

Xu H, Zhang C, Zhang Q. Comparison of bioabsorbable versus metallic interference screws for anterior cruciate ligament reconstruction: a meta-analysis of randomized controlled trials. J Orthop Surg Res. 2019;14(1):267.

Sun K, Tian SQ, Zhang JH. Comparison of graft tunnel enlargement between bioabsorbable and titanium screws in anterior cruciate ligament reconstruction using hamstring autograft: a randomized controlled trial. Arthroscopy. 2018;34(4):1080-8.

Jansson KS, Harilainen A, Sandelin J, Karjalainen PT, Aronen HJ, Tallroth K. Bone tunnel enlargement after anterior cruciate ligament reconstruction with the bioabsorbable pin and screw fixation and same-bundle hamstring graft: a prospective, randomized, controlled study with 2-year follow-up. Arthroscopy. 2017;33(5):1069-77.

Kanaya T, Nakamura M, Fujita N. Comparison of bioabsorbable and metallic interference screws for anterior cruciate ligament reconstruction with quadrupled hamstring tendon grafts: a prospective randomized trial with 2-year follow-up. Arthroscopy. 2011;27(2):181-188.

Huang TW, Hsu KY, Cheng CY. Clinical outcomes of bioabsorbable and titanium screws in anterior cruciate ligament reconstruction: a meta-analysis of randomized controlled trials. Arthroscopy. 2015;31(5):934-944.

Maletis GB, Inacio MC, Funahashi TT. Analysis of 16,192 anterior cruciate ligament reconstructions from a community-based registry. Am J Sports Med. 2013;41(9):2090-2098.

Shen C, Jiang SD, Jiang LS, Dai LY. Bioabsorbable versus metallic interference screws in anterior cruciate ligament reconstruction: a meta-analysis of randomized controlled trials. Arthroscopy. 2010;26(5):705-13.

Downloads

Published

2023-05-29

How to Cite

Hiremath, V. D., Tegginamath, A., Patwegar, A. Q., & Kumar C., S. (2023). Bioabsorbable screws versus metallic interference screw fixation in anterior cruciate ligament reconstruction using hamstring autograft: comparative analysis of functional outcome. International Journal of Research in Medical Sciences, 11(6), 2113–2117. https://doi.org/10.18203/2320-6012.ijrms20231627

Issue

Section

Original Research Articles