Price Rohan, Stoney James, Brown Graeme
St Vincent's Hospital, Melbourne, Victoria, Australia.
ANZ J Surg. 2010 Mar;80(3):162-5. doi: 10.1111/j.1445-2197.2009.05128.x.
To determine if there is a different clinical outcome after TransFix versus endobutton femoral fixation in hamstring anterior cruciate ligament (ACL) reconstruction.
Twenty-nine patients were randomized into either Endobutton (Smith & Nephew, Andover, MA, USA) (n= 13) or TransFix (Arthrex, Naples, FL, USA) (n= 16) femoral fixation in hamstring ACL reconstruction. The distal fixation was with a bioabsorbable interference screw. The evaluation methods were clinical history and examination, KT1000 arthrometry for laxity as well as the International Knee Documentation Committee (IKDC) scores over a 2-year time frame.
There were no significant differences between the study groups preoperatively. For the 2-year follow-up, 11 patients in the Endobutton group and 13 patients in the TransFix group were available (greater than 80%). No statistical differences between the two groups were found at the 1- or 2-year follow-up examinations. At the 2-year follow-up, 72.7% of the Endobutton and 84.6% of the TransFix group patients were in the IKDC A or B categories. Additional procedures postoperatively occurred more frequently in the TransFix group.
There were no significant differences in the results for either technique of femoral fixation.
确定在腘绳肌前交叉韧带（ACL）重建中，使用TransFix与纽扣钢板进行股骨固定后临床结果是否存在差异。
29例患者在腘绳肌ACL重建中被随机分为纽扣钢板组（美国马萨诸塞州安多弗市的施乐辉公司）（n = 13）或TransFix组（美国佛罗里达州那不勒斯市的Arthrex公司）（n = 16）进行股骨固定。远端固定采用生物可吸收挤压螺钉。评估方法包括临床病史和检查、用于测量松弛度的KT1000关节测径仪以及在2年时间内的国际膝关节文献委员会（IKDC）评分。
术前研究组之间无显著差异。在2年随访中，纽扣钢板组有11例患者，TransFix组有13例患者可供评估（超过80%）。在1年或2年随访检查中，两组之间未发现统计学差异。在2年随访时，纽扣钢板组72.7%的患者和TransFix组84.6%的患者属于IKDC A或B类别。术后额外手术在TransFix组中更频繁发生。
两种股骨固定技术的结果无显著差异。
