IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-9-4-24751 Original Research Paper Suture Disc with lateral femoral cortex sacrifice is as good as a fixed loop button for femoral side fixation in ACLR - A prospective mid term study. Vishal bansal Dr. Dr P V Siddhartha Dr. April 2020 9 4 01 02 ABSTRACT

INTRODUCTION: Arthroscopic ACL reconstruction with autologous hamstring autograft is the treatment of choice for ACL insufficiency in active patients. We developed a novel technique for femoral side graft fixation using a titanium suture disc while sacrificing the lateral femoral cortex, which is useful for short femoral tunnels and ensures complete graft fill. The aim of the study was to compare the functional outcomes of Arthroscopic ACL Reconstruction using this technique vs standard fixed loop titanium button device for femoral side graft fixation. MATERIALS & METHODS: We included 30 consecutive patients who underwent ACLR with quadrupled hamstring tendon at our institute between July 2016 to December 2018. When adequate femoral tunnel was obtained, a Titanium button was used to fix the graft (Group 1, 15 patients). If tunnel length was less than 35mm, a Titanium Suture Disc was used (Group 2, 15 patients). All the patients were assessed subjectively with IKDC and objectively with Drawer and Lachmann tests at 2 years followup. HYPOTHESIS: We hypothesized that using the suture disc technique in smaller femoral tunnels upto 35 mm gave comparable functional results to fixed loop in longer tunnels. RESULT: The IKDC score in Button group and Suture disc group was 92.03 and 92.16 respectively. There was no significant difference in stability of knee between the two groups as assessed by Lachmann’s test, anterior drawer test, and Pivot shift test and both methods of fixation were found adequate. Conclusion: We concluded that suture disc used for femoral fixation is a good alternative for femoral side fixation when femoral tunnel length is about 30–35mm