Uchida R, Mae T, Matsumoto N, Kuroda S, Toritsuka Y, Shino K. Knee Surg Sports Traumatol Arthrosc. Please visit: appliedradiology.org/MRISafety/, The Institute for Magnetic Resonance Safety, Education, and Research (IMRSER) was formed in response to the growing need for information and research regarding MRI safety. Magnetic resonance (MR) imaging of the knee has become the most commonly performed musculoskeletal MR examination and is an indispensable tool in the appropriate management of the injured athlete. The recent improvements and developments in graft tendon fixation materials have contributed to the promising outcomes of ACL reconstruction procedures (11, 12). Pediatrics. No significant differences were observed among these two groups at each time point (Fisher's test, P = 0.4954, 1.0000, 0.7127, respectively) (Table 7). Are you using WordPress? had an effect on clinical outcomes. Radiographic evaluation of anterior cruciate ligament reconstruction. After 3 months of surgery, 50 of 52 (96.2%) patients in group 1 and 48 of 50 (96.0%) patients in group 2 had a negative sign in the pre-drawer Test. doi: 10.1177/0363546518825340, 8. The clinical effective rate was calculated based on the Lysholm knee scoring results and classified as excellent or good at 6 months postoperatively. Bartolo MK, Provaggi E, Athwal KK, Newman S, Accardi MA, Dini D, et al. cannot ensure the endobutton has been pulled too far away from the Both groups had two patients who showed a negative sign in the pre-drawer Test. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Krappel FA, Bauer E, Harland U. The current trend in anterior cruciate ligament (ACL) reconstruction has shifted to anatomical double-bundle (DB) reconstruction, which reproduces both the anteromedial bundle (AMB) and the posterolateral bundle (PLB) of the ACL. (I) Patients have signed the informed consent; (II) Patients aged 18 to 65 (including 18 and 65 years old), regardless of gender; (III) Patients meet the diagnosis of anterior cruciate ligament rupture which requires arthroscopic reconstruction of the anterior cruciate ligament, and have no contraindications to implantation; (IV) Patients have good compliance, and willing to conduct follow-up observation as required. eCollection 2022 May. 2017-06.1), People's Hospital of Inner Mongolia Autonomous Region (NO.YWLCSYLL-2017-004-01), Zhongshan Traditional Chinese Medicine Hospital (NO.2017ZSZY-LL-002), The First Affiliated Hospital of Kunming Medical University (NO.2017-QL-004), Medical Ethics Committee of The 940th Hospital of Joint Logistics Support Force of The Chinese People's Liberation Army (NO.2018-QL-002), separately. You may get a 404 error for images because you have Hot Link Protection turned on and the domain is not on the list of authorized domains. Anterior cruciate ligament fixation devices: Expected imaging appearance and common complications. Mae Before the reconstruction, the meniscal lesion was managed. Data are presented as percentages for categorical variables, and as means and standard deviations for continuous variables. Navigation systems have also been recently introduced to orthopedic surgical procedures, including ACL reconstruction. Results: Significant improvements in knee function and functional scores were observed in both groups after surgery regardless of the fixation materials applied (P < 0.05). Change the settings back to the previous configuration (before you selected Default). A systematic review and meta-analysis showed that 926 patients were evaluated for Lachman test grade 0 in 14 studies and negative Lachman test (grade 0) was found in 81.2% of cases (95% CI, 78.783.7%). When working with WordPress, 404 Page Not Found errors can often occur when a new theme has been activated or when the rewrite rules in the .htaccess file have been altered. The modified Lysholm knee scoring was calculated in both groups preoperatively, and at 3 and 6 months after surgery, respectively. Hackl W, Fink C, Benedetto KP, Hoser C. [Transplant fixation by anterior cruciate ligament reconstruction. Background: To reduce the costs and financial burden in the ACLR treatment, we compare the early clinical outcomes and Magnetic Resonance Imaging (MRI) results of Delta Medical's PEEK (polyether ether ketone) interference screw and EndoButton with those of Smith & Nephew's PEEK interference screw and EndoButton in patients with arthroscopic anterior cruciate ligament reconstruction. (2006) 22:48996. CLAIMS . zbek EA, Kocaolu H, Karaca MO, Terzi MM, Dursun M, Akmee R. Orthop J Sports Med. May 05, 2018;Published: May 30, 2018. Functional range of motion measurement. The MRI graft signal intensity scale. The mean (SD) Lysholm knee scores in groups 1 and 2 were 80.5 points (14.85) and 83.4 points (11.60) at 3 months, respectively, compared with that 52.7 points (21.46) and 51.8 points (27.26) in groups 1 and 2, preoperatively (both P < 0.05). In this example the image file must be in public_html/cgi-sys/images/. endobutton acl mri safetygovernment jobs for math majors. Epub 2012 Jan 28. This indicates that Delta Medical's PEEK interference screw and EndoButton have a non-inferiority effect compared with Smith & Nephew's PEEK interference screw and EndoButton. Labeling does not contain MRI Safety Information Device required to be labeled as containing natural rubber latex or dry natural rubber (21 CFR 801.437): (2021) 9:23259671211021577. doi: 10.1177/23259671211021577, 9. A steel oxygen tank is never permitted inside of the MRI system room. Bethesda, MD 20894, Web Policies Uchida et al. P: the average effective rate of the control group. possible. At 6 months post-operation, the mean (SD) Lysholm knee scores in groups 1 and 2 were 87.9 points (11.04) and 89.2 points (13.62), respectively. A total of 104 patients were enrolled in this study (53 patients in group 1 and 51 patients in group 2). Plominski J, Borcz K, Kwiatkowski K, Zabicka M. Fixation of patellar tendon bone graft in reconstruction of patellar ligaments. An MRI is a very useful tool for helping your doctors see images of the inside of your body, including tissue that can't be seen on a conventional x-ray.. Before your exam, it's very important to fill out the safety screening form carefully. MRI is safe and painless. There were 50 of 52 patients in group 1 and 50 of 50 patients in group 2 showed a positive sign in the pre-drawer Test, and all the patients in group 1 and group 2 showed a negative sign in the post- drawer Test before surgery. One is aperture fixation like interference screw. For the most part, the material of the endobutton and hydroxy appetite coated screw is made from Titanium which is a non-ferrous metal. Before surgery, physical therapy was applied to restore full knee ROM and eliminate knee swelling. anterior cruciate ligament reconstruction: Report of two cases. Would you like email updates of new search results? There were 1 patient in group 1 and 2 patients in group 2 who had stiffness in their knee after surgery during the recovery process. Clinical and functional range of motion (both active and passive) evaluations were performed on all patients preoperatively, and at 3 and 6 months postoperatively. Orthop Traumatol Surg Res. cruciate ligament is performed to restore knee stability and to (2019) 47:353140. Taketomi S, Inui H, Hirota J, Nakamura K, Sanada T, et al. The easiest way to edit a .htaccess file for most people is through the File Manager in cPanel. Delta Medical's PEEK interference screw and EndoButton had a non-inferiority effect compared to Smith & Nephew's PEEK interference screw and EndoButton. The prevalence of recurrent instability after primary ACL . (2013) 21:98694. Unable to process the form. endobutton acl mri safety why did blamire leave summer? The purpose of this study is to evaluate both subjective and objective clinical results, as well as functional recovery time, after selective arthroscopic single . There were no significant differences between these two groups. Acute knee injuries are a common source of morbidity in athletes and if overlooked may result in chronic functional impairment. Risk Factors for Femoral Cortical Button Malposition in Posterior Cruciate Ligament Reconstruction. there any concerns when seating the endobutton, we would advise Tissue interposition between the EndoButton and femoral lateral cortex was found in 51 EndoButtons (25.2%) on the radiographs obtained immediately after ACL reconstruction, whereas EndoButtons with tissue interposition migrated more frequently than those without it 1 year after ACL reconstruction. through an anterior cruciate ligament graft tunnel.
There is no difference in tunnel widening or cyst formation compared with other commonly used materials for graft fixation (20). Download MRI pre-screening forms for patients and MR personnel. Guglielmetti LGB, Salas VER, Jorge PB, Severino FR, Duarte A, de Oliveira VM, et al. TightRope ABS Implant System, 11 mm Concave Button with ABS TightRope Implant and Round ABS TightRope Button, 11 mm, TightRope ABS Implant System, 14 mm Concave Button with ABS TightRope Implant and Round ABS TightRope Button, 14 mm, TightRope ABS Implant System, 20 mm Concave Button with ABS TightRope Implant and Round ABS TightRope Button, 20 mm, TightRope ABS, Button, Oblong 3.4 x 13 mm, TightRope ABS Button, Round, Concave 11 mm, TightRope ABS Button, Round, Concave 14 mm, TightRope ABS Button, Round, Concave 20 mm, Autograft GraftLink Implant System, for InternalBrace Technique, Allograft GraftLink Implant System, for InternalBrace Technique, 06:23 | English | 12/08/2016 | VID1-00808-EN B, 05:38 | English | 12/08/2016 | VID1-00461-EN B, 10:33 | English | 10/18/2017 | VPT1-00830-EN A, English | 02/11/2022 | LA2-000147-en-US A. Primary anterior cruciate ligament (ACL) reconstructions with bone-patellar tendon-bone (BPTB) autografts have recently been found to have a lower risk of revision compared with hamstring tendon autografts, and BPTB has again . Delta Medical's products with a non-inferiority effect and much lower cost, which have already been approved for the medical market by the National Medical Products Administration of China, maybe a suitable alternative for ACL injured patients, especially those with lower incomes. Comparison of bioabsorbable and metal interference screwsresults of treatment. preliminary results. Functional assessment: The modified Lysholm knee scoring scale. YWLCSYLL-2017-004-01), Zhongshan Traditional Chinese Medicine Hospital (No. In the UK, 79% of hamstring tendons graft femoral fixation was done with a suspension device, and 18% was done with an interference screw (28). doi: 10.1136/bjsports-2013-093103, 26. Migration of EndoButton after anatomic double-bundle anterior cruciate ligament reconstruction Arthroscopy. Therefore, one should Similar results were found in the pre-drawer Test which means the reconstructed ACL had provided enough strength support for the stability of the involved knee. The TightRope ABS may be used for tibial fixation of the GraftLink technique for all-inside ACL reconstruction technique or for fixation of the graft over small bone tunnels created during transtibial ACL reconstruction. Federal government websites often end in .gov or .mil. For patients with meniscal and chondral injury, appropriate modifications to the ROM limits and weight-bearing status were made. (2020) 7:68. doi: 10.1186/s40634-020-00285-z, 21. One hundred one patients underwent anatomic double-bundle ACL reconstruction with EndoButtons for femoral fixation. as testing the graft integrity and checking the marking on it. 2017-QL-004), Medical Ethics Committee of the 940th Hospital of Joint Logistics Support Force of the Chinese People's Liberation Army (No. doi: 10.1016/j.arthro.2014.11.011, 4. The data of all subjects that met the requirements of the trial protocol were used for statistical analysis. . An office chair was in the wrong place - at ANY time! We have developed an innovative modified BHB method involving anatomic anterior cruciate ligament (ACL) reconstruction. incidence of ACL injury and surgery in various populations. Block randomization was performed to allocate patients to one of the two treatment groups. 404 means the file is not found. The sample size was determined according to the non-inferiority test. The mean active flexion range of motion in this study improved from 117.4 degrees preoperatively to 137.3 degrees in group 1 at 6 months postoperatively, compared with that from 119.8 degrees preoperatively to 137.7 degrees in group 2. There are reports of distal femur fracture Mae T, Kuroda S, Matsumoto N, Yoneda M, Nakata K, Yoshikawa H, et al. The average value for each variable was used for statistical analysis. Before surgery, 51 of 52 patients in group 1 and 49 of 50 patients in group 2 showed a positive sign in the pre-Lachman Test, and 51 of 52 patients in group 1 and 48 of 50 patients in group 2 showed a negative sign in the post-Lachman test. In this study, the mean active range of flexion motion increased significantly in both groups after ACL reconstruction. The laxity examination of the involved knee after ACL reconstruction was performed to measure the graft strength and knee stability. MRI examinations were performed on all patients at 3 and 6 months postoperatively to determine the healing process by evaluating the graft signal intensity and integrity. The distal free ends of the tendons were armed with No. Moreover, 14 studies evaluated 1029 patients for Lachman test grade 0 or 1, which was found in 96.1% of cases (95% CI, 94.9 97.3%) (7). (2021) 29:38716. However, there is a number of recognized The difference in functional scores and range of motion were not significant in groups 1 and 2. Orthop J Sports Med. The other is suspensory fixation like EndoButton (Smith & Nephew, Inc. Andover, MA, USA). The mean height of the studied population was 169 cm (range, 150190 cm), with a standard deviation of 8 cm. (2015) 31:5618. Figure 1. However, neither tissue (2022) S0749-8063(22)00407-8. doi: 10.1016/j.arthro.2022.06.032, 3. 2022 May 6;10(5):23259671221094292. doi: 10.1177/23259671221094292. PurposeComparing the MRI features of the grafts between a group of patients treated with an over-the-top anterior cruciate ligament reconstruction technique that preserves the hamstring attachment . Following diagnostic arthroscopy, the patients were randomized into one of the two treatment groups. J Am Acad Orthop Surg. Received: 26 July 2022; Accepted: 17 October 2022; Published: 07 November 2022. Hence using a larger endobutton has a theoretical Firstly, breaking of the guide wire has been noted. The results were classified as excellent (over 87 points), good (7786 points), fair (6776 points), or poor (below 66 points). Bradshaw AR, Morris A (2014) Fracture of the lateral femoral condyle doi: 10.1016/j.eats.2020.01.016, 27. (2016) 24:e813. Uchida R, Mae T, Matsumoto N, Kuroda S, Toritsuka Y, et al. (2011) : non-inferiority cut-off value. complications. Shellock R & D Services, Inc. email
A total of 104 consecutive patients who underwent arthroscopic ACLR between November 1, 2017, and February 27, 2020, were enrolled in five different medical centers and randomly divided into two groups. ligament reconstruction. 6 Ethibond sutures using a whipstitch technique. endobutton acl mri safetywilliams class of 2025 acceptance rate. It is important to be aware of endobuttons complication during (2014) The Labeling does not contain MRI Safety Information Device required to be labeled as containing natural rubber latex or dry natural rubber (21 CFR 801.437): Debieux P, Franciozi CE, Lenza M, Tamaoki MJ, Magnussen RA, Faloppa F, et al. : significance level (false positive rate). If husband sarah gadon; difference between federal government and unitary government brainly; echo provider payments login; great skate birthday coupon; The surgeon who performed the surgery did not do the follow-up. Drogset JO, Grontvedt T, Jessen V, Tegnander A, Mollnes TE, Bergh K. Comparison of in vitro and in vivo complement activation by metal and bioabsorbable screws used in anterior cruciate ligament reconstruction. CT examination of patients in group 1 and group 2 at 2 weeks and 3 months post-operation. Edit the file on your computer and upload it to the server via FTP. (I) Patients who have participated in other medical device trials within 3 months; (II) Patients with severe allergies; (III) Patients with abnormal liver and kidney function and coagulation disorders; (IV) Patients who have serious heart and lung diseases that restrict their participation in the study; (V) Patients have poor compliance with mental disorder; (VI) Patients have a positive pregnancy test; (VII)There is evidence that the subject abuses drugs; (VIII)Patients with peripheral nerve injury at the surgical site; (IX) Patients with myocardial infarction within 6 months and a history of cerebral infarction within 3 months; (X)The investigator believes that there are other circumstances that patients are inappropriate to participate in this clinical trial. The residual soft tissue was cleaned from the tendons. The MRI graft signal integrity scale. CT was performed on all patients at 2 weeks and 3 months postoperatively to test the complications, such as loosening, shifting, or breakage. Considering the possibility of cases falling off, the sample size of each group was set as 53 cases; that is, 53 cases in the experimental group and 53 cases in the control group. We acknowledge and thank the study participants for the contributions they made to generating new knowledge. Delta Medical's PEEK interference screw and EndoButton had a non-inferiority effect compared to Smith & Nephew's PEEK interference screw and EndoButton. increasing and is commoner among the professional athlete than Xu B, Yin Y, Zhu Y, Yin Y, Fu W. Comparison of bioabsorbable and metallic interference screws for graft fixation during ACL reconstruction: a meta-analysis of randomized controlled trials. All patients completed the follow-up (Figure 3). According to the Guiding Principles for Selection of Non-inferiority Cut-off Value issued by the European Drug Evaluation Organization (EMEA) (EMEA/CPMP/EWP/2158/99), and by the International Coordination Conference on Technical Requirements for Registration of Human Drugs (ICH) E9, E10 guidelines, a value of 0.1 was determined as the non-inferiority threshold, which was close to the10% (0.097) average effective rate of the control group. . The https:// ensures that you are connecting to the Published by Elsevier Inc. All rights reserved. Knee Surg Sports Traumatol Arthrosc. Two-bundle reconstruction of the anterior cruciate ligament using The sizes of the tunnels were drilled according to the precise diameter of the graft (Figures 1DF). Knee Surg Sports Traumatol Arthrosc. Find safety related information pertaining to thousands of specific implants or devices. The laxity examination of the involved knee after ACL reconstruction included the Lachman test and Drawer test. government site. effect of cortical button location on its post-operative migration in Background: The purpose of this study is to evaluate clinico radiological outcome of hamstring tendon ACL reconstruction using femoral Transfixation and Endobutton with identical Tibial fixation.Methods: A Prospective randomized clinical outcome study was done from January 2002 to June 2008, a total of 132 patients with quadruple hamstring ACL reconstruction using a femoral fixation group A . Table 1. advantages and disadvantages of defensive and offensive strategies; ucla sash 2021 doi: 10.1007/s00586-018-5538-8, 22. BackgroundTo reduce the costs and financial burden in the ACLR treatment, we compare the early clinical outcomes and Magnetic Resonance Imaging (MRI) results of Delta Medical's PEEK (polyether ether ketone) interference screw and EndoButton with those of Smith & Nephew's PEEK interference screw and EndoButton in patients with arthroscopic anterior cruciate ligament reconstruction.MethodsA . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. Another Pioneered by Dr. Thomas Rosenberg and introduced around 1990, it was the first device specifically designed to hold soft tissue grafts. outcomes. Arthroscopy 15(6): 618-624. (2021) 8:3635465211030259. doi: 10.1177/03635465211030259, 6. outer cortex before seating it. Arthroscopy 27(11): 1528-1535. Data analysis and interpretation: PG and SL. (2006) 126:61520. doi: 10.1542/peds.2016-1877, PubMed Abstract | CrossRef Full Text | Google Scholar, 2. posterolateral femoral drill hole breakage. 1. Louis, Ph.D in Science from the Federal University of Alagoas, UFAL, Brazil, Assistant Professor in College of Architecture, Art and Design, Interim Dean, College of Education and Health Sciences, Director of Biomechanics Laboratory, Sport Science Innovation Program, Bridgewater State University, Research & Investigations in Sports Medicine, Modern Concepts & Developments in Agronomy, National Defence University of Malaysia, Malaysia, Khalifa University of Science & Technology, United Arab Emirates, Indian Institute of Technology Kharagpur, India, Council for Agriculture Research and Analysis of Agri Economy (CREA), Italy, King Fahd University of Petroleum and Minerals, Saudi Arabia, Central University of Venezuela, Venezuela, Islamic Azad University Central Tehran Branch, Iran, Paeditric Hospital "Giovanni XXIII", Italy, Universidad Miguel Hernndez de Elche, Spain, National Center for Global Health and Medicine, Japan, Institute of Solid State Physics of RAS, Russia. 2018 Feb;99:17-27. doi: 10.1016/j.ejrad.2017.12.006. Notice that the CaSe is important in this example. scope before graft insertion. Background:Suspensory fixation of anterior cruciate ligament (ACL) reconstruction (ACLR) grafts has emerged as a popular device for femoral graft fixation. such as the Endobutton (Smith & Nephew) and transfixation devices [10, 11]. RewriteRule . Floor polishers are poor MRI system cleaners! injury to other intraarticular structures [2]. graft tension. AccessGUDID - ENDOBUTTON (03596010597267)- ENDOBUTTON CL ULTRA 20MM. As originally designed, the surgeon would tie a Dacron tape connecting the . Objective To study the clinical outcome of tendon graft fixation in anterior cruciate ligament(ACL) reconstruction with cortical press-fit bolt(CPB).Methods The femoral end was fixed with Endobutton+CPB,ACL was reconstructed by fixing tibia with Rigidfix from January 2010 and December 2010 in 17 patients(14 males and 3 females) at the age of 28 . causing it to get stuck before it reaches the outer cortex. Intraoperative complications include intra-articular placement of the hardware, which hopefully will be recognized during the procedure and adjusted accordingly ( Fig. In group 1, the mean active flexion range of motion improved from 117.4 degrees preoperatively to 137.3 degrees at 6 months postoperatively (P < 0.05), while the mean passive flexion range of motion improved from 124.0 degrees preoperatively to 139.7 degrees at 6 months postoperatively (P < 0.05). Knee Look for the .htaccess file in the list of files. Manuscript writing and final approval of manuscript: All authors. (2020) 9:e6039. doi: 10.1016/j.jmbbm.2016.06.024, 23. Before the operation, the mean (SD) Lysholm knee scores were 52.7 points (21.46) and 51.8 points (27.26) in groups 1 and 2, respectively, and there was no statistically significant difference between the two groups (P = 0.8480). Machine learning can accurately predict overnight stay, readmission, and 30-day complications following anterior cruciate ligament reconstruction. Arch Orthop Trauma Surg 134(11): 1579-1585. Visit: IMRSER Videos. At the time the article was created Usman Bashir had no recorded disclosures. an EndoButton. Continuous variables were described using the mean, standard deviation, median, minimum, and maximum values. The qualitative index (effective rate) was adopted as an evaluation index. A Per-Protocol Set (PPS) was used to conduct statistical analysis of the trial efficacy. eCollection 2021 Jan. 2014 May;22(5):1047-54. doi: 10.1007/s00167-013-2458-3. The clinical evaluation of the involved knee was performed at each medical center by one independent physical therapist who was not involved in the surgical repair process. ACL reconstruction in order to prevent them from occurring where Notice that the CaSe is important in this example. MRI examinations were performed on all patients at 3 and 6 months postoperatively to determine the healing process. Collection and assembly of data: MY, YX, YL, and YW. Menu ceramic cutting tools advantages and disadvantages. Then, we review commonly . Dai W, Leng X, Wang J, Cheng J, Hu X, Ao Y. Quadriceps tendon autograft versus bone-patellar tendon-bone and hamstring tendon autografts for anterior cruciate ligament reconstruction: a systematic review and meta-analysis. /index.php [L] See the Section on 404 errors after clicking a link in WordPress. All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Korean J Radiol. After 3 months of surgery, there were 51 of 52 (98.1%) patients in group 1 and 48 of 50 (96.0%) patients in group 2 had a negative sign in the pre-Lachman Test which mean the reconstructed ACL had provided enough strength support for the stability of the involved knee. Bearish Engulfing Pattern Followed By Doji; Oblu Maldives Tripadvisorjamie Oliver Creamy Pasta An official website of the United States government. Skip to Main Content; National Library of Medicine NLM Tools and Resources FDA UDI Home FDA Medical Devices Home . Thirty-two cross-pin fixations and 24 EndoButton CL fixations were performed on the femoral side. No use, distribution or reproduction is permitted which does not comply with these terms. Another complication associated with use of endobuttons is This study was a multicenter (Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, People's Hospital of Inner Mongolia Autonomous Region, Zhongshan Traditional Chinese Medicine Hospital, The First Affiliated Hospital of Kunming Medical University, The 940th Hospital of Joint Logistics Support Force of The Chinese People's Liberation Army), prospective, double-blind, randomized, controlled, clinical trial. When comparing Delta Medical's PEEK interference screw and EndoButton with Smith & Nephew's PEEK interference screw and EndoButton, no significant differences were observed in terms of modified Lysholm knee scoring, the clinical effective rate, the laxity examination, and clinical and functional range of motion. What is claimed is: 1. Unable to load your collection due to an error, Unable to load your delegates due to an error. n: estimated sample size; n1 and n2 are the sample sizes of the experimental and control groups, respectively. anatomical double-bundle anterior cruciate ligament reconstruction. A systematic review. 8600 Rockville Pike Clinical comparisons between the transtibial technique and the far anteromedial portal technique for posterolateral femoral tunnel drilling in anatomic double-bundle anterior cruciate ligament reconstruction. The large 12 mm x 7.5 mm footprint maximizes button-to-bone contact against the cortex. and transmitted securely. (2022) 30:225966. After 3 months of surgery, there were 51 of 52 (98.1%) patients in group 1 and 48 of 50 (96.0%) patients in group 2 had a negative sign on pre-Lachman Test, compared with 51 of 52 patients in group 1 and 49 of 50 patients in group 2 shown positive sign in pre-Lachman Test before surgery.
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