The Archives of Bone and Joint Surgery

The Archives of Bone and Joint Surgery

Biomechanical Comparison Between Bashti Bone Plug Technique and Biodegradable Screw for Fixation of Grafts in Ligament surgery

Document Type : RESEARCH PAPER

Authors
Kaveh Bashti 1
Mohammad Naghi Tahmasebi 2
Hasan Kaseb 3
Farzam Farahmand 4
Mohammad Akbar 5
Amir Mobini 6
1 Tehran university of medical sciences
2 Tehran university of medical sciences,Shariati hospital
3 Tehran university of medical sciences,Emam hospital
4 Sharif university of technology.School of biomechanics
5 Sharif university of technology,school of biomechanics
6 Sharif university of technology, school of bimechanics
10.22038/abjs.2015.3826
Abstract
 
Background: Ligament reconstruction is a common procedure in orthopedic surgery. Although several popular techniques are currently in use, new methods are proposed for secure fixation of the tendon graft into the bone tunnel.
Purposes: We sought to introduce our new technique of Bashti bone plug for fixation of soft tissue graft in anterior cruciate ligament (ACL) reconstruction and to compare its biomechanical features with conventional absorbable interference screw technique in a bovine model.
Methods: Twenty pairs of bovine knees were harvested after death. Soft tissue was removed and the Achilles tendon was harvested to be used as an ACL graft. It was secured into the bone tunnel on the tibial side via two different methods: Bashti Bone Plug technique and conventional screw method. Biomechanical strength was measured using 200 N and 300 N cyclic loading on the graft. Pull out strength was also tested until the graft fails.
Results: No graft failure was observed after 200 N and 300 N cyclic loading in either fixation methods. When testing for pull out failure, 21 tendons (53%) were torn and 19 tendons (48%) slipped out. No fixation failure occurred, which did not reveal a significant difference between the bone plug or interference screw group (P=0.11). The mean pull out force until failure of the graft was 496±66 N in the screw group and 503±67 N in the bone plug group (P=0.76).
Conclusions: Our suggested fixation technique of Bashti bone plug is a native, cheap, and feasible method that provides comparable biomechanical strength with interference screw when soft tissue fixation was attempted in bovine model.
Keywords
anterior cruciate ligament
Bashti
Biomechanical strength
Bone plug
Bovine model
Initial fixation
Interference screw
Reconstruction
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The Archives of Bone and Joint Surgery
Volume 3, Issue 1 - Serial Number 1
January 2015
Pages 29-34

  • Receive Date 03 August 2014
  • Revise Date 26 November 2014
  • Accept Date 04 December 2014