DOUBLE BUNDLE ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION USING THE CALAXO OSTEOCONDUCTIVE INTERFERENCE SCREW – THE PETERBOROUGH EXPERIENCE

A Getgood; M Kent; I McNamara; A Dickinson; H Elmadbouh; T Bhullar

doi:10.1302/0301-620X.91BSUPP_III.0910422b

Article alerts Social media

Current issue

DOUBLE BUNDLE ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION USING THE CALAXO OSTEOCONDUCTIVE INTERFERENCE SCREW – THE PETERBOROUGH EXPERIENCE

A Getgood
M Kent
I McNamara
A Dickinson
H Elmadbouh
T Bhullar

DOUBLE BUNDLE ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION USING THE CALAXO OSTEOCONDUCTIVE INTERFERENCE SCREW – THE PETERBOROUGH EXPERIENCE

Getgood A, Kent M, McNamara I, Dickinson A, Elmadbouh H, Bhullar T. DOUBLE BUNDLE ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION USING THE CALAXO OSTEOCONDUCTIVE INTERFERENCE SCREW – THE PETERBOROUGH EXPERIENCE. Orthop Procs. 2009;91-B(SUPP_III):422-422. doi:10.1302/0301-620X.91BSUPP_III.0910422b

Getgood, A, et al. “DOUBLE BUNDLE ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION USING THE CALAXO OSTEOCONDUCTIVE INTERFERENCE SCREW – THE PETERBOROUGH EXPERIENCE.” Orthopaedic Proceedings, vol. 91-B, no. SUPP_III, 2009, pp. 422-422., https://doi.org/10.1302/0301-620X.91BSUPP_III.0910422b

Getgood, A., Kent, M., McNamara, I., Dickinson, A., Elmadbouh, H., & Bhullar, T. (2009). DOUBLE BUNDLE ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION USING THE CALAXO OSTEOCONDUCTIVE INTERFERENCE SCREW – THE PETERBOROUGH EXPERIENCE. Orthopaedic Proceedings, 91-B(SUPP_III), 422-422. https://doi.org/10.1302/0301-620X.91BSUPP_III.0910422b

Getgood, A., Kent, M., McNamara, I., Dickinson, A., Elmadbouh, H. and Bhullar, T. (2009) “DOUBLE BUNDLE ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION USING THE CALAXO OSTEOCONDUCTIVE INTERFERENCE SCREW – THE PETERBOROUGH EXPERIENCE.” Orthopaedic Proceedings, 91-B(SUPP_III), pp. 422-422. Available at: https://doi.org/10.1302/0301-620X.91BSUPP_III.0910422b

Getgood, A, M Kent, I McNamara, A Dickinson, H Elmadbouh, and T Bhullar. “DOUBLE BUNDLE ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION USING THE CALAXO OSTEOCONDUCTIVE INTERFERENCE SCREW – THE PETERBOROUGH EXPERIENCE.” Orthopaedic Proceedings 91-B, no. SUPP_III (2009): 422-422. https://doi.org/10.1302/0301-620X.91BSUPP_III.0910422b

Getgood A, Kent M, McNamara I, Dickinson A, Elmadbouh H, Bhullar T. DOUBLE BUNDLE ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION USING THE CALAXO OSTEOCONDUCTIVE INTERFERENCE SCREW – THE PETERBOROUGH EXPERIENCE. Orthop Procs. 2009 Sep 1;91-B(SUPP_III):422-422. https://doi.org/10.1302/0301-620X.91BSUPP_III.0910422b

Copy to clipboard

BibTeX

EndNote

RIS

Abstract

Introduction: The purpose of this study was to describe our experience of the Calaxo Osteoconductive interference screw (Smith & Nephew) when used for both femoral and tibial graft fixation in Double Bundle ACL reconstruction.

Methods: Since May 2006, all patients with an ACL deficient knee were reconstructed using the Double Bundle technique. All were followed prospectively and outcome data collected.

Evidence of fixation failure was established subjectively by clinical examination (Lachman, Anterior Draw, Pivot Shift) and objectively via KT-1000 arthrometer.

Following ethical approval, post-operative CT scans (immediate and 1 year) were performed on our first 10 patients allowing assessment of tunnel dimensions/fill.

Results: Thirty two patients (29 male, 3 female) with a mean age of 30 (range 18–46) were included. At last follow-up, no evidence of graft/fixation failure was found; KT-1000 mean side-side difference 1.4mm (range −3 to +6). All patients had a positive pivot shift preoperatively which was abolished postoperatively. One patient had a postoperative infection with no other complications reported. Radiologically the screws did not show complete resorption but areas of new bone were identified.

Discussion: We have shown satisfactory results with use of the Calaxo screw when used in Double Bundle Reconstruction. We have not had any cases of the adverse local soft tissue reaction, which has led to this screw being withdrawn from clinical use. Even when using a total of four screws in each knee.

A previous study published by Seibold (2007) has shown tunnel widening and communication when suspensory fixation is used in Double Bundle reconstruction. This has the potential risk of leading to fracture between the tunnels.

This has not been seen with the Calaxo screw which may be a result of the biological action of the screw which should ultimately lead to a reduction in these risks.

Correspondence should be addressed to Mr T Wilton, c/o BOA, BASK at the Royal College of Surgeons, 35–43 Lincoln’s Inn Fields, London WC2A 3PE, England.