Anterior cruciate ligament graft tensioning. Is the maximal sustained one-handed pull technique reproducible?

Hdl Handle:
http://hdl.handle.net/10147/141033
Title:
Anterior cruciate ligament graft tensioning. Is the maximal sustained one-handed pull technique reproducible?
Authors:
O'Neill, Barry J; Byrne, Fergus J; Hirpara, Kieran M; Brennan, William F; McHugh, Peter E; Curtin, William
Citation:
BMC Research Notes. 2011 Jul 20;4(1):244
Issue Date:
20-Jul-2011
URI:
http://hdl.handle.net/10147/141033
Abstract:
Abstract Background Tensioning of anterior cruciate ligament (ACL) reconstruction grafts affects the clinical outcome of the procedure. As yet, no consensus has been reached regarding the optimum initial tension in an ACL graft. Most surgeons rely on the maximal sustained one-handed pull technique for graft tension. We aim to determine if this technique is reproducible from patient to patient. Findings We created a device to simulate ACL reconstruction surgery using Ilizarov components and porcine flexor tendons. Six experienced ACL reconstruction surgeons volunteered to tension porcine grafts using the device to see if they could produce a consistent tension. None of the surgeons involved were able to accurately reproduce graft tension over a series of repeat trials. Conclusions We conclude that the maximal sustained one-handed pull technique of ACL graft tensioning is not reproducible from trial to trial. We also conclude that the initial tension placed on an ACL graft varies from surgeon to surgeon.
Item Type:
Journal Article

Full metadata record

DC FieldValue Language
dc.contributor.authorO'Neill, Barry J-
dc.contributor.authorByrne, Fergus J-
dc.contributor.authorHirpara, Kieran M-
dc.contributor.authorBrennan, William F-
dc.contributor.authorMcHugh, Peter E-
dc.contributor.authorCurtin, William-
dc.date.accessioned2011-08-29T09:11:26Z-
dc.date.available2011-08-29T09:11:26Z-
dc.date.issued2011-07-20-
dc.identifierhttp://dx.doi.org/10.1186/1756-0500-4-244-
dc.identifier.citationBMC Research Notes. 2011 Jul 20;4(1):244-
dc.identifier.urihttp://hdl.handle.net/10147/141033-
dc.description.abstractAbstract Background Tensioning of anterior cruciate ligament (ACL) reconstruction grafts affects the clinical outcome of the procedure. As yet, no consensus has been reached regarding the optimum initial tension in an ACL graft. Most surgeons rely on the maximal sustained one-handed pull technique for graft tension. We aim to determine if this technique is reproducible from patient to patient. Findings We created a device to simulate ACL reconstruction surgery using Ilizarov components and porcine flexor tendons. Six experienced ACL reconstruction surgeons volunteered to tension porcine grafts using the device to see if they could produce a consistent tension. None of the surgeons involved were able to accurately reproduce graft tension over a series of repeat trials. Conclusions We conclude that the maximal sustained one-handed pull technique of ACL graft tensioning is not reproducible from trial to trial. We also conclude that the initial tension placed on an ACL graft varies from surgeon to surgeon.-
dc.titleAnterior cruciate ligament graft tensioning. Is the maximal sustained one-handed pull technique reproducible?-
dc.typeJournal Article-
dc.language.rfc3066en-
dc.rights.holderO'Neill et al.; licensee BioMed Central Ltd.-
dc.description.statusPeer Reviewed-
dc.date.updated2011-08-05T16:09:14Z-
All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.