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Fırat Üniversitesi Sağlık Bilimleri Tıp Dergisi
2021, Cilt 35, Sayı 3, Sayfa(lar) 195-200
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A Comparıson of the Clinical Results of the Adjustable Loop Endobutton (Lift-Ultrabutton) Method By the Fixed Loop Endobutton (Endobutton Continuous Loop) Used in the Arthroscopic Anterior Cruciate Ligament Reconstruction
Muhammed KAZEZ1, Murat GÜRGER1, Şükrü DEMİR1, Sefa KEY2, Gökhan ÖNCE3
1Fırat Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Elazığ, TÜRKİYE
2Bingöl Devlet Hastanesi, Ortopedi ve Travmatoloji Kliniği Bingöl, TÜRKİYE
3Bitlis Devlet Hastanesi, Ortopedi ve Travmatoloji Kliniği Bitlis, TÜRKİYE
Keywords: anterior cruciate ligament, fixed loop endobutton, adjustable loop endobutton, ultrabutton

Objective: In this study, it was aimed to compare the clinical results of the fixed loop endobutton method and the adjustable loop (lift-ultrabutton) endobutton method used during the fixation of the graft to the femur in arthroscopic anterior cruciate ligament (ACL) reconstruction.

Materials and Methods: One hundred fourteen patients who underwent anterior cruciate ligament reconstruction (ACBR) with an arthroscopic anatomic single-band method due to ACL rupture in our clinic between January 2017 and November 2018 were included in our study. Preoperative condition and postoperative average 1-year clinical results were analyzed retrospectively. The data obtained were evaluated using Lysholm, Cincinatti knee scores and the International Knee Documentation Committee (IKDC) knee assessment form.

Results: One hundred and six of the patients (93%) were male and 8 (7%) were female. Autogenous hamstring tendons were fixed to the femur with an adjustable loop endobutton system in 74 patients (65%) and a fixed loop endobutton system in 40 patients (35%). When Lysholm, Cincinatti knee scores and International Knee Documentation Committee (IKDC) scoring were examined, a significant (p<0.001) increase was observed in the postoperative period compared to the preoperative period.

Conclusion: The clinical success of the two methods applied was found to be similar. The advantages of this method are that the adjustable loop endobutton method requires less calculation during surgery and the surgery time is short. Prospective randomized studies with more patients are needed.


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