A non-inferiority study of two types of PEEK interface screws and EndoButton for anterior cruciate ligament reconstruction under arthroscopy

LI Guanbo; GAO Peng; CHEN Xintong; WANG Jing

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Journal of Hunan Normal University(Medical Science) ›› 2023, Vol. 20 ›› Issue (2) : 74-78.

A non-inferiority study of two types of PEEK interface screws and EndoButton for anterior cruciate ligament reconstruction under arthroscopy

LI Guanbo, GAO Peng, CHEN Xintong, WANG Jing

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Abstract

Objective To evaluate the clinical efficacy of Delta Medical's PEEK (polyether ether ketone) interface screws and EndoButton compared to Smith & Nephew's PEEK interface screws and EndoButton in patients undergoing arthroscopic anterior cruciate ligament (ACL) reconstruction. Methods Sixteen patients with ACL injury who underwent arthroscopic ACL reconstruction at Hunan Provincial People's Hospital (the First Affiliated Hospital of Hunan Normal University) between November 2017 and July 2019 were randomly assigned to two groups of 8 patients each. The observation group used Delta Medical's PEEK interface screws and EndoButton, while the control group used Smith & Nephew's PEEK interface screws and EndoButton. The patients were evaluated before and after surgery for Lysholm knee joint score, clinical efficacy rate, laxity, activity, MRI examination results, and incidence of complications. Results The knee joint function scores improved significantly in both groups after surgery. No differences were observed in functional scores, clinical efficacy rates, laxity, and activity. There were no major intraoperative or postoperative complications, such as infection, vascular or nerve injury. Conclusion The knee joint function scores improved after anterior cruciate ligament reconstruction in both groups. There was no significant difference in functional scores and activity between the two groups. Compared with Smith & Nephew, Delta Medical's PEEK interface screws and EndoButton demonstrated non-inferiority. Delta Medical's PEEK interface screws and EndoButton are suitable for arthroscopic anterior cruciate ligament reconstruction.

Key words

PEEK interface screw / endobutton / arthroscopy / anterior cruciate ligament reconstruction

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LI Guanbo, GAO Peng, CHEN Xintong, WANG Jing. A non-inferiority study of two types of PEEK interface screws and EndoButton for anterior cruciate ligament reconstruction under arthroscopy[J]. Journal of Hunan Normal University(Medical Science). 2023, 20(2): 74-78

References

[1] Beck NA, Lawrence JTR, Nordin JD, et al.ACL Tears in School-Aged Children and Adolescents Over 20 Years[J]. Pediatrics, 2017, 139(3): E20161877.
[2] Lopez CD, Gazgalis A, Peterson JR, et al. Machine Learning Can Accurately Predict Overnight Stay, Readmission,30-Day Complications Following Anterior Cruciate Ligament Reconstruction[J]. Arthroscopy, 2023, 39(3): 777-786. e5.
[3] Dai W, Leng X, Wang J, et al.Quadriceps Tendon Autograft Versus Bone-Patellar Tendon-Bone and Hamstring Tendon Autografts for Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-analysis[J]. Am J Sports Med, 2022, 50(12): 3425-3439.
[4] Papalia R, Vasta S, D'Adamio S, et al. Metallic or bioabsorbable interference screw for graft fixation in anterior cruciate ligament (ACL) reconstruction[J]. Br Med Bull, 2014, 109: 19-29.
[5] Hackl W, Fink C, Benedetto KP, et al.[Transplant fixation by anterior cruciate ligament reconstruction. Metal vs. bioabsorbable polyglyconate interference screw. A prospective randomized study of 40 patients][J]. Unfallchirurg, 2000, 103(6): 468-474.
[6] Plominski J, Borcz K, Kwiatkowski K, et al.Fixation of patellar tendon bone graft in reconstruction of patellar ligaments. omparison of bioabsorbable and metal interference screws--results of treatment[J]. Ortop Traumatol Rehabil, 2008, 10(1): 44-53.
[7] Shen C, Jiang SD, Jiang LS, et al.Bioabsorbable versus metallic interference screw fixation in anterior cruciate ligament reconstruction: a meta-analysis of randomized controlled trials[J]. Arthroscopy, 2010, 26(5): 705-713.
[8] Ramsingh V, Prasad N, Lewis M.Pre-tibial reaction to biointerference screw in anterior cruciate ligament reconstruction[J]. The Knee, 2014, 21(1): 91-94.
[9] Pereira H, Correlo VM, Silva-Correia J, et al.Migration of "bioabsorbable" screws in ACL repair. How much do we know? A systematic review[J]. Knee Surg Sports Traumatol Arthrosc, 2013, 21(4): 986-994.
[10] Krappel FA, Bauer E, Harland U.The migration of a BioScrew as a differential diagnosis of knee pain, locking after ACL reconstruction: a report of two cases[J]. Arch Orthop Trauma Surg, 2006, 126(9): 615-620.
[11] Shumborski S, Heath E, Salmon LJ, et al.A Randomized Controlled Trial of PEEK Versus Titanium Interference Screws for Anterior Cruciate Ligament Reconstruction With 2-Year Follow-up[J]. Am J Sports Med, 2019, 47(10): 2386-2393.
[12] Lindtner RA, Schmid R, Nydegger T, et al.Pedicle screw anchorage of carbon fiber-reinforced PEEK screws under cyclic loading[J]. Eur Spine J, 2018, 27(8): 1775-1784.
[13] Bartolo MK, Provaggi E, Athwal KK, et al.Strength of interference screw fixation of meniscus prosthesis matches native meniscus attachments[J]. Knee Surg Sports Traumatol Arthrosc, 2022, 30(7): 2259-2266.
[14] Verhagen EA, Clarsen B, Bahr R.A peek into the future of sports medicine: the digital revolution has entered our pitch[J]. Br J Sports Med, 2014, 48(9): 739-740.
[15] Hughes JD, Vaswani R, Gibbs CM, et al.Anterior Cruciate Ligament Reconstruction With a Partial-Thickness Quadriceps Tendon Graft Secured With a Continuous-Loop Fixation Device[J]. Arthrosc Tech, 2020, 9(5): e603-e609.
[16] Mae T, Kuroda S, Matsumoto N, et al.Migration of EndoButton After Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction[J]. Arthroscopy, 2011, 27(11): 1528-1535.
[17] Arnold MP, Calcei JG, Vogel N, et al.ACL Study Group survey reveals the evolution of anterior cruciate ligament reconstruction graft choice over the past three decades[J]. Knee Surg Sports Traumatol Arthrosc, 2021, 29(11): 3871-3876.
[18] Musahl V, Nazzal EM, Lucidi GA, et al.Current trends in the anterior cruciate ligament part 1: biology and biomechanics[J]. Knee Surg Sports Traumatol Arthrosc, 2022, 30(1): 20-33.
[19] Guglielmetti LGB, Salas VER, Jorge PB, et al.Prospective and Randomized Clinical Evaluation of Hamstring Versus Patellar Tendon Autograft for Anterior Cruciate Ligament Reconstruction in Soccer Players[J]. Orthop J Sports Med, 2021, 9(9): 23259671211028168.
[20] Mouarbes D, Menetrey J, Marot V, et al.Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-analysis of Outcomes for Quadriceps Tendon Autograft Versus Bone-Patellar Tendon-Bone and Hamstring-Tendon Autografts[J]. Am J Sports Med, 2019, 47(14): 3531-3540.
[21] Harris MC, Venrick C, Hines AC, et al.Prospective Evaluation of Range of Motion in Acute ACL Reconstruction Using Patellar Tendon Autograft[J]. Orthop J Sports Med, 2019, 7(10): 2325967119875415.