Comparison Of The Efficacy Of Arthroscopic Anterior Cruciate Ligament Reconstruction Using Rigid Fix With Endo-button

Object: To explore clinical efficacy of femoral fixation of arthroscopic anterior cruciate ligament(ACL)reconstruction using Rigid fix and End-button.Methods: 117 patients with anterior cruciate ligament injury were treated in our hospital between 2006 and 2008. They were 92 males and 25 females, with an average age of 27.7 (16 to 57) years. Their average course of disease is 18.7 months(3days to 12years). All of them had definite trauma history and included 24 cases of road accident, 62 the sprained knee, 31 cases got injury of knee in fall. 96 of them had instability symptom of knee. Anterior drawer test was positive in 114 cases, Lachman test was positive in 76 cases, and Pivot shift test was positive in 49 cases. Them were operated with arthroscopic reconstruction of anterior cruciate ligament and conventional rehabilitated after operation.Result: All patients were followed up for 1 year. Satisfactory joint function was achieved with no instability. Anterior drawer test Lachman test and Pivot shift test was negative in all cases. The average knee score of the group fixed by Rigid was 42.48±15.10 preoperatively and 97.50±3.69 postoperatively(P<0.05). The average knee score of the group fixed by End-button was 43.06±15.05 preoperatively and 97.37±3.10 postoperatively(P<0.05). The difference between two methods has no statistical significance.Conclusions: The clinical efficacy of arthroscopic reconstruction of anterior cruciate ligamen(tACL) with femoral side of ligaments fixed by Rigid fix and End-button both can rebuild the instability and improve patients'symptoms, and their clinical efficacy had no significant difference.