Comparision of Clinical Results between Three Different Fixation Method of Anterior Cruciate Ligament Reconstruction

Aim: The aim of this study is to investigate the clinical results of three different fixation methods of ACL reconstruction. Material and Method: The 81 patients whom undergone arthroscopic ACL surgery using hamstring tendon grafts were divided to three groups. Group 1 (27 patients) was defined which graft fixation made in tunnel and using interference screw named AperFix, group 2 (24 patients) was defined which graft fixation made made in tunnel and using transcondylar nail named TransFix, group 3 (30 patients) was defined which graft fixation made outside of tunnel on cortical bone named Endobutton. All patients were evaluated by operation time, postoperative functional scores International Knee Documentation Committee (IKDC) knee score and Lysholm scoring system. Results: There was no statistically significant difference in mean of ages, sex, side distribution, follow-up time, IKDC scores and Lysholm scores between the groups (p>0.05). Mean operation time was 85.86±7.15 minutes. There was statistically significant difference Between the groups in surgical time (p: 0.001; p<0.05).There was statistically significant decreased surgical time in group 3 when compared to group 1 (p: 0.001) and group 2 (p: 0.003) (p<0.05). There was no statistically significant difference of surgical time between group 1 and 2 (p: 0.587; p>0.05). Conclusion: There was no significant difference in clinical results between three different fixation methods while Endobutton method has a advantage in decreasing of surgical time