Adkar Neeraj, Thareja Satwik, Kerhalkar Ravi A, Sadalagi Prajwal
Department of Orthopedics, Saishree Hospital, Pune, IND.
Cureus. 2024 Jul 17;16(7):e64779. doi: 10.7759/cureus.64779. eCollection 2024 Jul.
Background Anterior cruciate ligament reconstruction (ACLR) is a crucial procedure in orthopedic surgery. This study evaluates the efficacy and safety of ACLR employing suspensory tibial fixation with a polyether ether ketone (PEEK) button. Methodology This retrospective observational study conducted at Sai Shree Hospital, Pune, India, between November 2023 and December 2023 enrolled 47 subjects aged 18-60 years who underwent arthroscopic ACLR utilizing the T-Button-A Adjustable Loop Ultra-High-Molecular-Weight Polyethylene Suture PEEK button. The functional outcomes and patient-reported outcomes were assessed using the International Knee Documentation Committee (IKDC) score, the Modified Cincinnati Rating System Questionnaire (MCRS), the Single Assessment Numeric Evaluation (SANE) score, the Tegner Activity Level (TAL) Scale, and Knee Injury and Osteoarthritis Outcome Score (KOOS) quality of life subscale. Results Femoral fixation utilized 27 (57.4%) Proloop Ultra Adjustable Loop Button 60 mm, 19 (40.4%) Infiloop Fixed Loop Button 20 mm, and 1 (2.1%) Infiloop Fixed Loop Button 30 mm. Tibial fixation solely relied on T-Button A (PEEK Tibial Button With Adjustable Loop 90 mm). Postoperative evaluations revealed favorable IKDC (79.49 ± 12.67), MCRS (81.32 ± 11.57), SANE (77.83 ± 11.11), TAL Scale (3.87 ± 0.99) and KOOS quality of life subscale (83.81 ± 13.07) scores. Conclusions The findings affirm the efficacy and safety of arthroscopic ACLR utilizing suspensory tibial fixation with the PEEK button, supporting its use for improved patient outcomes.
背景 前交叉韧带重建术（ACLR）是骨科手术中的关键手术。本研究评估了采用聚醚醚酮（PEEK）纽扣进行悬吊胫骨固定的ACLR的疗效和安全性。方法 本回顾性观察性研究于2023年11月至2023年12月在印度浦那的赛施瑞医院进行，纳入了47名年龄在18至60岁之间的受试者，他们接受了使用T型纽扣A可调节环超高分子量聚乙烯缝线PEEK纽扣的关节镜下ACLR。使用国际膝关节文献委员会（IKDC）评分、改良辛辛那提评分系统问卷（MCRS）、单项评估数字评价（SANE）评分、特格纳活动水平（TAL）量表以及膝关节损伤和骨关节炎结局评分（KOOS）生活质量子量表评估功能结局和患者报告结局。结果 股骨固定使用了27枚（57.4%）Proloop超可调节环纽扣60毫米、19枚（40.4%）Infiloop固定环纽扣20毫米和1枚（2.1%）Infiloop固定环纽扣30毫米。胫骨固定仅依靠T型纽扣A（带可调节环90毫米的PEEK胫骨纽扣）。术后评估显示IKDC（79.49±12.67）、MCRS（81.32±11.57）、SANE（77.83±11.11）、TAL量表（3.87±0.99）和KOOS生活质量子量表（83.81±13.07）评分良好。结论 研究结果证实了使用PEEK纽扣进行悬吊胫骨固定的关节镜下ACLR的疗效和安全性，支持其用于改善患者结局。
