• Tibial-sided fixation of soft tissue grafts in anterior cruciate ligament (ACL) reconstruction has often been identified as the weak link in the fixation construct, with interference screws being a commonly used technique. (thieme-connect.de)
  • The act of interference screw insertion for soft tissue graft fixation in ACL reconstruction alters the biomechanical properties of the graft. (thieme-connect.de)
  • Two groups of 12 porcine knees (24 total) were utilized for the tibial-sided fixation of porcine flexor digitorum tendons using single-insertion interference screws, in a model of soft tissue ACL reconstruction. (thieme-connect.de)
  • Single insertion of interference screws for soft tissue graft fixation in ACL reconstruction weakens the biomechanical properties of the graft itself. (thieme-connect.de)
  • Research progress of tibial-graft fixation methods on anterior cruciate ligament reconstruction]. (bvsalud.org)
  • To review the studies about the tibial- graft fixation methods on anterior cruciate ligament (ACL) reconstruction, in order to provide clinical reference. (bvsalud.org)
  • The literature about the tibial- graft fixation methods on ACL reconstruction at home and abroad was extensively reviewed, and the factors that affect the selection of fixation methods were summarized. (bvsalud.org)
  • The knee flexion angle, graft tension, and graft fixation device are mainly considered when the tibial- graft was fixed on ACL reconstruction. (bvsalud.org)
  • In terms of the graft device , the interference screw is still the most commonly used method of tibial- graft fixation, with the development of all-inside ACL reconstruction in recent years, the cortical button fixation may become the mainstream. (bvsalud.org)
  • Hamstring graft tendon for anterior cruciate ligament (ACL) reconstruction is a common approach worldwide. (ac.ir)
  • Use of supplementary staple beside interference screw was as successful as mere use of interference screw for fixation of hamstring tendon autologous graft of the ACL reconstruction, regarding force withstanding. (ac.ir)
  • Tibial fixation in anterior cruciate ligament reconstruction: A prospective randomized study comparing metal interference screw and staples with a centrally placed polyethylene screw and sheath. (ac.ir)
  • Wagner M, Kääb MJ, Schallock J, Haas NP, Weiler A. Hamstring tendon versus patellar tendon anterior cruciate ligament reconstruction using biodegradable interference fit fixation: A prospective matched-group analysis. (ac.ir)
  • Kousa P, Järvinen TL, Vihavainen M, Kannus P, Järvinen M. The fixation strength of six hamstring tendon graft fixation devices in anterior cruciate ligament reconstruction. (ac.ir)
  • Background: Optimal fixation of soft tissue grafts in anterior cruciate ligament (ACL) reconstruction remains a controversial topic, and tibial-sided fixation is frequently cited as the "weak point" of the femur-graft-tibia construct. (usuhs.edu)
  • Candidate articles were included if they compared biomechanical or clinical characteristics of tibial-sided hybrid fixation (defined as a combination of aperture and suspensory fixation methods) with single-mode fixation of soft tissue grafts in ACL reconstruction. (usuhs.edu)
  • Conclusion: Hybrid methods of tibial-sided graft fixation in ACL reconstruction result in stronger initial fixation and less side-to-side laxity after healing but do not change patient-reported outcomes at 1- to 3-year follow-up. (usuhs.edu)
  • Anterior cruciate ligament reconstruction success is dependent on several factors including fixation strength, anatomical placement, and the mechanical properties of the graft tissue. (crimsonpublishers.com)
  • The purpose of this study was to quantify the impact of whip stitching as a form of suture tubularization on the mechanical properties of quadruple-strand hamstring anterior cruciate ligament reconstruction using a femoral suspensory fixation. (crimsonpublishers.com)
  • The success of ACL reconstruction depends on many factors including anatomical placement, the mechanical properties of the selected graft tissue, its fixation strength, and the biological response to the incorporated graft [2]. (crimsonpublishers.com)
  • Despite the advances in ACL reconstruction over the decades [2], poor intra-articular graft healing is still a common reason for ACL graft failure. (crimsonpublishers.com)
  • Other uses include treatment of vertical bone loss due to periodontal disease, placement of bone grafts at the site of mandibular fractures, and use of cortical and cancellous bone grafts for mandibular reconstruction after mandibulectomy. (veterinarypracticenews.com)
  • Compared with the revision caused by life accident or technical reasons of primary reconstruction surgery, the patients with graft failure caused by sports injury have better postoperative recovery. (hindawi.com)
  • Previous studies have shown that the clinical effect after ACL revision is not as good as the initial reconstruction, and the graft failure rate and reoperation rate are also higher. (hindawi.com)
  • Over-tensioning is one of the most challenging complications in static medial patellofemoral ligament reconstruction as the graft used for reconstruction is isometric and the anatomical MPFL is a mostly dynamic structure. (springer.com)
  • As an alternative to established static reconstruction techniques, dynamic graft techniques have been introduced for stabilizing the patella with the aim of providing a more physiological reconstruction of the medial patellofemoral ligament. (springer.com)
  • 4 When surgical reconstruction is performed, typically a graft is harvested from the patient's patellar or hamstring tendons and is inserted into femoral and tibial bone tunnels to replicate the native ACL. (bmj.com)
  • Purpose: The primary objective of this study was to evaluate the difference in graft pullout forces, stiffness, and failure mode of double-bundle anterior cruciate ligament (ACL) reconstruction of the tibial insertion by use of a single tunnel compared with a double-tunnel technique with interference screw fixation. (eur.nl)
  • Interference screw fixation of the soft-tissue graft was used for both types of tibial reconstruction. (eur.nl)
  • Reconstruction was done using an autologous iliac crest bone graft and a plate to achieve a mono-segmental fusion. (aofoundation.org)
  • The use of autogenous bone graft is a well-known technique for reconstruction of tibial bone defects in primary total knee arthroplasty (TKA). (biomedcentral.com)
  • We describe a simple and reliable technique of reconstruction in a proximal tibia bone defect at the time of primary TKA by using autogenous onlay bone graft (AOBG). (biomedcentral.com)
  • S/P Anterior Cruciate Ligament Reconstruction, Left Knee using bone patellar tendon graft with interference screw fixation on January 9, 2008. (lawphil.net)
  • Graft reconstruction is commonly performed with autologous grafts (palmaris longus, plantaris, 3.5-mm medial strip of Achilles, or hamstrings) and occasionally with allografts. (medscape.com)
  • The palmaris longus tendon, the most frequently used graft for elbow ligament reconstruction, is similar in strength to the anterior bundle of the MCL (357 N vs average failure load of 260 N). (medscape.com)
  • Single-strand reconstruction with ulnar Endobutton fixation technique and 2-strand docking technique appear to be viable options for reconstruction of MCL of elbow to resist valgus loading. (medscape.com)
  • Hence, the optimal fixation method for a single-strand MCL reconstruction may require improved interference screws or a modified Endobutton procedure. (medscape.com)
  • Lateral collateral ligament (LCL) repair and reconstruction for posterolateral rotatory instability of the elbow using a tendon graft seems to provide better results than direct ligament repair, and the results do not seem to deteriorate with time. (medscape.com)
  • External Fixation: This method uses external devices, such as pins and rods, to hold the bones in the correct position. (healthtrip.com)
  • External fixation is often used in complex cases or when internal fixation is not suitable. (healthtrip.com)
  • Hybrid Fixation: In some cases, a combination of internal and external fixation may be employed to provide optimal stability during the healing process. (healthtrip.com)
  • Immobilization of the fracture with internal or external fixation. (wikipedia.org)
  • Surgical options include bone graft or bone graft substitute, internal fixation, and/or external fixation. (oshmanlaw.com)
  • The block graft is secured in place with a screw and protected by a membrane. (allenpress.com)
  • Autogenous blocks have been stabilized routinely using a fixation screw holding the block to the recipient bed. (allenpress.com)
  • Following screw insertion, the grafts were dissected free and underwent biomechanical testing in tension to failure. (thieme-connect.de)
  • Interference screw fixation strength of a quadrupled hamstring tendon graft is directly related to bone mineral density and insertion torque. (thieme-connect.de)
  • The current study aims to compare the outcomes of mere use of interference screw for fixation of hamstring tendon graft versus the use of interference screw plus supplementary staple. (ac.ir)
  • The study population was randomly divided into two groups: graft fixation with interference screw only and interference screw plus supplementary staple. (ac.ir)
  • Among them, 38 patients with neurological impairment were treated with one-stage debridement and posterior pedicle screw fixation on the basis of drug therapy. (scirp.org)
  • All but 2 grafts (38 of 40) failed by slippage of the tendon past the interference screw. (eur.nl)
  • The range of motion (ROM) of each segment and the stress distribution on screw-vertebra interface, bone graft, and cage-endplate were recorded and analyzed. (medscimonit.com)
  • Compared with ACPC, IFC showed better biomechanical performance on screw-vertebra interface and bone graft, but worse biomechanical performance on cage-endplate interface. (medscimonit.com)
  • However, the use of bioabsorbable interference screw fixation has resulted in less valgus angle widening in response to early cyclic valgus load than the use of the docking technique. (medscape.com)
  • A significant concern surrounding the use of interference screws for soft tissue fixation is graft laceration and the possibility of loss of pull-out strength and slippage. (thieme-connect.de)
  • Internal Fixation: Involves the use of plates, screws, rods, and intramedullary nails to stabilize the realigned bone. (healthtrip.com)
  • Graft fixation was performed with metal screws for all grafts (Figure 3). (medscape.com)
  • Although allogenous bone has now gained wide acceptance as a source of bone graft for primary or revision TKA owing to enhanced surgical and fixation techniques and increased functional outcomes, it has been reported to result in complications, such as risk of disease transmission, nonunion, collapse or resorption of the graft [ 4 ]. (biomedcentral.com)
  • Bone grafts can be obtained from the patient's own body (autograft), a donor (allograft), or synthetic materials (alloplastic grafts). (healthtrip.com)
  • Autograft: This type of graft is considered the gold standard due to its high success rate and compatibility with the patient's body. (healthtrip.com)
  • Aim of the Study: 1) To compare the Acromioclavicular joint dislocation treated by autograft tendon repair versus hook plate fixation. (researchbib.com)
  • Currently, many ideal graft types exist to reproduce the anatomy and mechanics of a native ACL and include autograft, allograft, or a synthetic graft. (crimsonpublishers.com)
  • The term autograft refers to a bone graft obtained from the same patient. (veterinarypracticenews.com)
  • We report a large single surgeon case series with hamstring autograft as a graft option. (researchgate.net)
  • hamstring autograft as a graft option. (researchgate.net)
  • A biomechanical comparison of initial fixation strength of 3 different methods of anterior cruciate ligament soft tissue graft tibial fixation: Resistance to monotonic and cyclic loading. (ac.ir)
  • Purpose: This study sought answers to the following questions: (1) Does hybrid fixation result in stronger, stiffer initial fixation of soft tissue grafts? (usuhs.edu)
  • Corrective osteotomy and fixation with bone graft are surgical procedures used to treat various bone deformities and fractures. (healthtrip.com)
  • There is also a significant heterogeneity in surgical technique, number of stages, and graft options. (researchgate.net)
  • surgical technique, number of stages, and graft options. (researchgate.net)
  • 5 mm, a desirable surgical outcome may be difficult to achieve and bone graft may be needed. (biomedcentral.com)
  • The most common part of the body where surgeons obtain bone graft is a region on the lower back called the iliac crest. (hss.edu)
  • 5. Abnormality of iliac crest: Any patient with an abnormality of either iliac crest that the surgeon would normally consider a contraindication to bone graft harvesting of that side, such as preexisting tumor, infection, or dysplasia, would be excluded. (hss.edu)
  • The present report describes an incomplete atypical femoral fracture (AFF) patient who underwent simultaneous autogenous bone transplantation to the resected fracture region during intramedullary nail fixation. (hindawi.com)
  • She underwent intramedullary nail fixation for fear of a complete fracture. (hindawi.com)
  • After the fixation, the cortical bone at the fracture region was excised as a wedge-shaped block, and bone marrow extracted from the hollow reamer was simultaneously transplanted to the resected fracture region. (hindawi.com)
  • In primary cases such as traumatic fracture dislocation of the elbow, it usually is not necessary to employ tendon grafts or to perform ligament augmentations. (medscape.com)
  • In conclusion, our data shows that the effect of tubularization on a quadruple-strand hamstring graft with a femoral suspensory device positively effects the mechanical properties of the graft. (crimsonpublishers.com)
  • Some studies have recommended the use of hybrid fixation (combining intratunnel aperture fixation and extracortical suspensory fixation) on the tibial side to increase the strength of the reconstructed ACL and decrease the risk of graft slippage and subsequent failure. (usuhs.edu)
  • Most biomechanical studies reported significantly increased strength and stiffness with hybrid fixation versus single modes of fixation. (usuhs.edu)
  • Each graft type was tested using a synthetic bone block model and a porcine tibia model to determine ultimate load, yield load, stiffness, and graft displacement at failure. (crimsonpublishers.com)
  • The porcine model demonstrated that the ultimate load and yield load were found to be statistically similar between the graft groups but the tubularized group had greater stiffness when compared to untubularized grafts. (crimsonpublishers.com)
  • The newest approach is autoblood graft fixation, a technique also known as suture- and glue-free autologous graft. (aao.org)
  • 2) Does hybrid fixation reduce side-to-side laxity differences in clinical practice? (usuhs.edu)
  • 3) Does hybrid fixation increase complication rates when compared with a single mode of tibial fixation? (usuhs.edu)
  • Among clinical studies, 66% reported significantly decreased anterior-posterior laxity when hybrid fixation methods were employed, with the remainder showing no difference. (usuhs.edu)
  • During the past decade, the debate over the best approach to pterygium surgery has centered on whether surgeons should use sutures or fibrin glue to affix the conjunctival graft. (aao.org)
  • With traditional sutures, Dr. Mitra said, "the exaggerated symptoms of eye irritation-tearing, redness, foreign body sensation-in the postoperative period of grafting really inspired me to think of other approaches. (aao.org)
  • Currently it is unclear if tubularization of a quadruple hamstring graft is an effective way to increase its tensile strength. (crimsonpublishers.com)
  • Snaebjörnsson T, Hamrin Senorski E, Svantesson E, Westin O, Persson A, Karlsson J, Samuelsson K. Graft fixation and timing of surgery are predictors of early anterior cruciate ligament revision: A cohort study from the Swedish and Norwegian knee ligament registries based on 18,425 patients. (helse-bergen.no)
  • Anterior cervical plate and cage fixation system (ACPC) used in anterior cervical corpectomy and fusion (ACCF) is reported to incur excess complications. (medscimonit.com)
  • This study aimed to introduce integrated fixation cage (IFC) into ACCF to eliminate the anterior cervical plate (ACP)-related complications. (medscimonit.com)
  • Fill the entire femoral socket with graft- ideal for short grafts. (opnews.com)
  • The development of this unusual complication was related to lack of absorption of the fixation device, bone burn due to drilling, and persistent synovial fluid in the femoral bone tunnel, combined with the absence of bone ingrowth. (iasp-pain.org)
  • In a recent prospective randomised control trial (PRCT) of 50 patients comparing non-operative management and locked-plate fixation for complex displaced fractures, it was reported that at 12 months the functional scores (American Shoulder and Elbow Score ASES, and Constant Score CS) were similar, and that the only significant difference was better radiographs in the operated group. (scielo.org.za)
  • The graft is usually harvested from the patient's hip, ribs, or other bones, and it contains living cells that aid in the healing process. (healthtrip.com)
  • In this detailed and informative blog, we will delve into the essential aspects of corrective osteotomy, bone grafting, and the fixation methods involved. (healthtrip.com)
  • However, there is no optimal fixation method for the tibial- graft , the advantages and disadvantages of each fixation methods need to be further studied. (bvsalud.org)
  • METHODS: between 2006 and the 31st December 2020, sixty-nine DAFs (study group) and sixty-nine standard stent-grafts (control group) were enrolled in a multi-center, retrospective, case-control study. (lu.se)
  • Total recovery of the patient was achieved after carrying out revision surgery consisting in bone tunnel filling using autologous bone graft and occlusion of cortical bone defect with local fascial flap. (iasp-pain.org)
  • Bone grafting is a procedure where healthy bone tissue is transplanted to aid in the healing of fractures or defects. (healthtrip.com)
  • Therefore, it seems valid to consider a bone graft material to fill these large defects after removal of the unerupted tooth and curettage of the cystic lining (Figure 1). (veterinarypracticenews.com)
  • This simple AOBG supplement technique may biologically promote graft to host bone healing by enhancing fixation stability without the additional fixatives and assist the surgeon in managing the varying nature of uncontained bone defects. (biomedcentral.com)
  • In overcoming these disadvantages, we describe a simple and reliable technique to reconstruct bone defects of the proximal tibia at the time of primary TKA by using autogenous onlay bone graft (AOBG) to ensure higher graft healing rates and lower infection rate without the use of an additional allogenous bone or metal augments. (biomedcentral.com)
  • Infection Reduction With Vancomycin-Treated ACL Grafts Could the application of antibiotics to ACL grafts before implantation help reduce the incidence of postoperative infection? (medscape.com)
  • However, recent biomechanical studies have shown that the HT grafts provide similar or better biomechanical outcomes when compared to the BPTB graft. (crimsonpublishers.com)
  • Tibial side graft fixation to achieve appropriate stability is a serious concern, worldwide. (ac.ir)
  • Clinical Relevance: This study shows a biomechanical advantage with no potential deleterious side effects for fixation of the ACL with a double-tunnel technique on the tibial side. (eur.nl)
  • At present, the graft is mainly fixed at 0°/30° of knee flexion. (bvsalud.org)
  • In terms of graft tension, a good effectiveness can be obtained when the tension level is close to 90 N or the knee flexion is 30° to recover the affected knee over-restrained 2 mm relative to the healthy knee . (bvsalud.org)
  • The synthetic bone block model demonstrated that grafts with tubularization had statistically higher yield load then grafts without tubularization. (crimsonpublishers.com)
  • Early graft healing is commonly associated with increases necrosis and a loss of cellularity. (crimsonpublishers.com)
  • The graft was then passed back up under the iliotibial band, and the isometric point just proximal and posterior to the lateral epicondyle was identified by inserting a guide pin. (medscape.com)
  • And now comes the latest twist: a novel approach in which the patient's own blood is used for fixation (Figs. 1 and 2). (aao.org)
  • Of these surgeries, 3,000 to 10,000 ACL reconstructions will end in graft failure [1]. (crimsonpublishers.com)
  • Bone grafts also may be used for guided bone regeneration in treatment of periodontal bone loss. (veterinarypracticenews.com)
  • The use of cyanoacrylate-based adhesives in periodontal surgery, including free gingival grafts, has demonstrated ease and efficiency, minimizing the problems generated by suturing thread, and showing minimal toxicity and low cost 6-10 . (bvsalud.org)
  • Forrest 14 , in a longitudinal study, evaluated more than 300 patients undergoing periodontal surgery, including free gingival grafts, laterally and apically positioned flaps, rhizectomies, endodontic and exodontic surgery, in which butyl-cyanoacrylate was used for the coaptation of the edges. (bvsalud.org)
  • Autologous bone graft is the "gold standard" treatment and possesses osteogenic, osteoinductive, and osteoconductive properties, although only a limited sample can be taken and there is a high risk of side effects. (wikipedia.org)
  • After intramedullary nail fixation, the skin incision was extended 2 cm distally from the blade insertion. (hindawi.com)
  • Ekeland A, Engebretsen L, Fenstad AM, Heir S. Similair risk of ACL graft revision for alpine skiers, football and handball players: the graft revision rate is influenced by age and graft choice. (helse-bergen.no)
  • The maximal von Mises stress on bone graft of the IFC model was higher compared with the ACPC models, except in flexion. (medscimonit.com)
  • With range of motion from zero to ninety degrees of flexion, the graft length was unchanged when measured to the pin. (medscape.com)
  • In cases where the size of the bone graft is inappropriate, the stability of bone graft fixation and subsequent bone graft to host bone incorporation may be compromised. (biomedcentral.com)
  • Ophthalmologists have been using fibrin in a variety of surgeries, including lamellar corneal grafting and the closure of corneal perforations. (aao.org)
  • Similarly, some veterinary dentists prefer not to place bone graft into the site of an enucleated dentigerous cyst, feeling that the blood clot that remains after closure of the site will have the ability to act as a scaffold. (veterinarypracticenews.com)
  • The bone graft acts as a scaffold for new bone growth, providing essential cells, proteins, and minerals necessary for bone healing. (healthtrip.com)
  • The current report presents a case of a localized alveolar defect treated with a corticocancellous block graft stabilized with a titanium mesh. (allenpress.com)
  • This is just one of many possible uses for bone grafting in oral surgery. (veterinarypracticenews.com)
  • Surgery was carried out, with drainage and graft-fixation pin device removal, with recurrent cyst formation after the intervention. (iasp-pain.org)
  • In free gingival graft surgery, stabilization of the graft, hemostasis and cleansing of the site remain necessary 1 . (bvsalud.org)