TY - JOUR AU - Weiss, Fernando Pessoa; Possoli, Felipe Augusto de Aguiar; Costa, Isabel Ziesemer; Borges, Paulo César; Stieven Filho, Edmar; Kubrusly, Luiz Fernando TI - Fixation of the Anterior Ligament Graft at the Tibial Pole: Biomechanical Analysis of Three Methods SN - 0102-3616 SN - 1982-4378 PY - 2019 JO - Rev Bras Ortop (Sao Paulo) JF - Revista Brasileira de Ortopedia LA - PT VL - 54 IS - 06 SP - 697 EP - 702 DA - 2019/12/13 KW - anterior cruciate ligament KW - surgical fixation devices KW - tibia AB - Objective Comparative biomechanical analysis of tibial fixation strength for ligament reconstruction with interference screw compared with screw post and washer, and compared with the associated fixation of both methods (hybrid fixation).Method A total of 54 specimens were used (porcine tibias and bovine flexor digital tendons), which were divided into three groups with fixation types similar to those used in anterior cruciate ligament (ACL) reconstruction: 1) fixation with interference screw; 2) fixation with screw post and toothed washer over knot and suture strand; and )- fixation with screw post and washer combined with interference screw (hybrid fixation). The analyses were performed through pull-out biomechanical tensile tests to determine the stiffness and load to system failure (yield load).Results The hybrid fixation group presented a significantly higher final stiffness (59.10 ± 3.45 N/mm) in comparison to the other groups (p < 0.05) and a higher yield load (581.34 ± 33.48 N) compared to the interference screw group (p < 0.05).Conclusion Hybrid fixation had biomechanical advantages over the bovine digital flexor graft fixation system in swine tibia during tensile tests. PB - Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revnter Publicações Ltda DO - 10.1055/s-0039-1697015 UR - http://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0039-1697015 ER -