endobutton acl mri safety

The clinical effective rate revealed no difference between the groups at 6 months postoperatively (non-inferiority analysis P = 0.0220). Figure 3. Background: To reduce the costs and financial burden in the ACLR treatment, we compare the early clinical outcomes and Magnetic Resonance Imaging (MRI) results of Delta Medical's PEEK (polyether ether ketone) interference screw and EndoButton with those of Smith & Nephew's PEEK interference screw and EndoButton in patients with arthroscopic anterior cruciate ligament reconstruction. Level of evidence: BISs can degrade in 23 years and simplify the revision surgery and minimized the subsequent MRI artifacts (1315). PEEK interference screws have been designed with a variety of suitable screw shapes and sizes for different patient applications (2123). migration of endobuttons and also whether endobutton migration injury to other intraarticular structures [2]. than those without tissue interposition. The .htaccess file contains directives (instructions) that tell the server how to behave in certain scenarios and directly affect how your website functions. (PDF) Preserved insertions of the semitendinosus and gracilis tendons official website and that any information you provide is encrypted 2018 Feb;99:17-27. doi: 10.1016/j.ejrad.2017.12.006. MeSH 133.1 ). Potential causes for this include mechanical irritation and foreign Am J Sports Med. No part of this content may be reproduced or transmitted in any form or by any means as per the standard guidelines of fair use. A total 75 patients (75 knees) who underwent ACL reconstruction with tibialis anterior allografts were investigated between February 2015 and October . Br Med Bull. An MRI is a very useful tool for helping your doctors see images of the inside of your body, including tissue that can't be seen on a conventional x-ray.. Before your exam, it's very important to fill out the safety screening form carefully. (You may need to consult other articles and resources for that information.). The Endobutton (EB) is the most widely used femoral fixation device worldwide that is designed specifically for soft tissue grafts. Randomized controlled trial of PEEK versus titanium interference screws for anterior cruciate ligament reconstruction with 2-year follow-up. Before Epub 2015 May 18. MR Imaging of Complications of Anterior Cruciate Ligament Graft Endobutton (A) and PEEK interface screw (B) of Delta Medical applied in group 1. government site. Ph.D in Agriculture from Faculty of Agriculture, Tohoku University, Approaches in Poultry, Dairy & Veterinary Sciences, Research Professor, PhD, Holistic Research Institute, Advances in Complementary & Alternative Medicine, MD PhD, Professor, Vincent Pol University, Professor, Chief Doctor, Director of Department of Pediatric Surgery, Associate Director of Department of Surgery, Doctoral Supervisor Tongji hospital, Tongji medical college, Huazhong University of Science and Technology, Senior Research Engineer and Professor, Center for Refining and Petrochemicals, Research Institute, King Fahd University of Petroleum and Minerals (KFUPM), Dhahran, Saudi Arabia, Research & Development in Material Science, Fellow of International Agency for Standards and Ratings (IASR), Edith Cowan University, Sarich Neuroscience Research Institute, Chancellor Emeritus / Professor Emeritus of Chemistry and Physics, University of MissouriSt. Functional assessment: The modified Lysholm knee scoring scale. doi: 10.1016/j.arthro.2014.11.011, 4. 2. Delta Medical's products with a non-inferiority effect and much lower cost, which have already been approved for the medical market by the National Medical Products Administration of China, maybe a suitable alternative for ACL injured patients, especially those with lower incomes. Orthop J Sports Med. J Exp Orthop. In this study, we investigated the PEEK interference screw and EndoButton developed by Delta Medical in arthroscopic ACL reconstruction and compared its clinical and MRI outcomes with those of Smith & Nephew's PEEK interference screw and EndoButton. Migration of endobutton after anatomic double-bundle anterior cruciate The En- . The mean range of stretch motion in group 2 was 0.4 before surgery, compared with 0.1 at 6 months after surgery (P > 0.05) (Table 8). You can try renaming that file to .htaccess-backup and refreshing the site to see if that resolves the issue. Conception and design: PG and JW. Graft failure is defined as pathologic laxity of the reconstructed ACL. Delta Medical's PEEK interference screw and EndoButton were suitable for arthroscopic ACLR. Gao P, Yuan M, Xu Y, Wu Y, Lin X, Li Y, Li S, Wang J. Graft MRI Characteristics A normal ACL graft should have low sig - nal intensity on short-TE . Knee Surg Sports Traumatol Arthrosc. Before the operation, the mean (SD) Lysholm knee scores were 52.7 points (21.46) and 51.8 points (27.26) in groups 1 and 2, respectively, and there was no statistically significant difference between the two groups (P = 0.8480). Moses B, Orchard J, Orchard J (2012) Systematic review: annual The informed consent was taken from all the patients. Machine learning can accurately predict overnight stay, readmission, and 30-day complications following anterior cruciate ligament reconstruction. preliminary results. Considering the possibility of cases falling off, the sample size of each group was set as 53 cases; that is, 53 cases in the experimental group and 53 cases in the control group. Copyright 2022 Gao, Yuan, Xu, Wu, Lin, Li, Li and Wang. Int Orthop. Unable to process the form. Table 9. Surgical procedures of ACL reconstruction. Careers. doi: 10.1016/j.eats.2020.01.016, 27. Hence using a larger endobutton has a theoretical 2010;194(2):476-84. The relations between clinical outcomes at 1 year and tissue interposition or migration of EndoButtons were also evaluated. Provision of study materials or patients: YL, YW, and XL. Comparison of bioabsorbable and metal interference screwsresults of treatment. The buttonless TightRope implant faciliates passing through narrow bone tunnels. doi: 10.1177/0363546518825340, 8. CT examination of patients in group 1 and group 2 at 2 weeks and 3 months post-operation. Progression of weight-bearing with crutches was on an as-tolerated basis, being guided by the presence and degree of pain and swelling. This could facilitate the early return to sports without any loosening of the fixed graft. (2013) Iliotibial Thirty-two cross-pin fixations and 24 EndoButton CL fixations were performed on the femoral side. doi: 10.1177/0363546509350325. Arthroscopy. The distance between the EndoButton and lateral femoral cortex was measured on the radiograph obtained . NCI CPTC Antibody Characterization Program. Cochrane Database Syst Rev. 2017-QL-004), Medical Ethics Committee of the 940th Hospital of Joint Logistics Support Force of the Chinese People's Liberation Army (No. interposition nor migration of the endobutton affected the clinical Patients were not informed about which material was used, either on the day of the surgery or at the follow-up visits. The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Before the reconstruction, the meniscal lesion was managed. Prospective randomised comparison of femoral transfix versus endobutton If your blog is showing the wrong domain name in links, redirecting to another site, or is missing images and style, these are all usually related to the same problem: you have the wrong domain name configured in your WordPress blog. In group 2, the mean active range of flexion motion improved from 119.8 degrees pre-operatively to 137.7 degrees at 6 months postoperatively (P < 0.05), while the mean passive flexion range of motion improved from 126.1 degrees preoperatively to 139.9 degrees at 6 months postoperatively (P < 0.05). (2014) The If you go to your temporary url (http://ip/~username/) and get this error, there maybe a problem with the rule set stored in an .htaccess file. With regards to post operative complications, these include late doi: 10.1016/j.arthro.2009.12.011, 16. Br J Sports Med. The Smith & Nephew company has developed a variety of PEEK interference screws and EndoButton that have been widely applied in clinical use. Doctor seen same MRI ,and he checked physically with Lachman test, MC Murray test, pivot test methods , he said Negative result ,he also given anti-inflammatory medicines and he said need 3 weeks Clinical results. The TightRope Attachable Button System (ABS) is a 2-piece implant that can be passed through narrow bone tunnels, while allowing increased cortical fixation with the assembly of a large button over the cortical bone. The oblong button is another option that provides the same 3.4 mm x 11 mm profile as the TightRope button. Current trends in the anterior cruciate ligament part 1: biology and biomechanics. No shifting or breakage occurred in both groups at 2 weeks and 3 months postoperatively based on CT examination. He is available to lecture on several magnetic resonance safety topics: Frank G. Shellock, Ph.D. is a physiologist with more than 30 years of experience conducting laboratory and clinical investigations in the field of magnetic resonance imaging. Eur Spine J. Clin J Sport Med 16(5): 428-429. If endobutton acl mri safetywilliams class of 2025 acceptance rate. Krappel FA, Bauer E, Harland U. 2018-QL-002), separately. A 3-portal technique was used with a anterolateral portal, anteromedial portal, and lower accessory anteromedial portal. However, the financial burden for patients is relatively high, especially in developing countries with poor insurance coverage. 43aofasvas, There were 49 of 52 (94.2%) patients in group 1 and 46 of 50 (92.0%) patients in group 2 who had a negative sign in the pre-drawer Test after 6 months of surgery. (2011) It is also possible that you have inadvertently deleted your document root or the your account may need to be recreated. If this doesn't work, you may need to edit your .htaccess file directly. CLAIMS . with tissue interposition migrated significantly more frequently We have developed an innovative modified BHB method involving anatomic anterior cruciate ligament (ACL) reconstruction. doi: 10.1093/bmb/ldt038, 10. this is that the guide wire is not inserted in a straight line, causing n: estimated sample size; n1 and n2 are the sample sizes of the experimental and control groups, respectively. Then the tibial side grafts were firmly pulled and fixed with Delta Medical's PEEK interference screw (Figure 2B) in group 1 and Smith & Nephew's PEEK interference screw in group 2 which had the same diameter as the drilled tunnel. Strength of interference screw fixation of meniscus prosthesis matches native meniscus attachments. Metallic interference screws (MISs) were the first applied interference screw that have reached a reliably positive clinical outcome (8). Find safety related information pertaining to thousands of specific implants or devices. doi: 10.1007/s00167-021-06772-9, 25. to be stuck in the tunnel, except that it has migrated even further. The large 12 mm x 7.5 mm footprint maximizes button-to-bone contact against the cortex. /index.php [L] During the past two decades, the application of the semitendinosus and gracilis tendons as autografts for arthroscopic ACL reconstruction has increased dramatically (5). PurposeComparing the MRI features of the grafts between a group of patients treated with an over-the-top anterior cruciate ligament reconstruction technique that preserves the hamstring attachment . Double-bundle anatomic anterior cruciate ligament reconstruction using Anterior cruciate ligament (ACL) injuries, which occur in the sports-playing population, commonly involve a complete rupture of the ligament. Another The significance level value, power 1, non-inferiority threshold , and average total effective rate P value were determined according to the actual investigation of the efficacy of this type of product and the general statistical requirements. May 05, 2018;Published: May 30, 2018. We acknowledge and thank the study participants for the contributions they made to generating new knowledge. Public Health 10:1003591. doi: 10.3389/fpubh.2022.1003591. The mean age of the patients was 32.5 years (range, 1865 years), and they all had a follow-up time of 6 months. Put the custom structure back if you had one. Travailleur Autonome Gestion michigan department of corrections directory; endobutton acl mri safety . Based on the results, there was only one patient in group 2 who had a screw loosening at 3 months postoperatively. A steel oxygen tank is never permitted inside of the MRI system room. Verhagen EA, Clarsen B, Bahr R, A. peek into the future of sports medicine: the digital revolution has entered our pitch. Dendrimer-Based Nanomedicine (Paramagnetic Nanoparticle, Nanocombretastatin, Nanocurcumin) for Glioblastoma Multiforme Imaging and Therapy, Glioblastoma: Targeting Angiogenesis and Tyrosine Kinase Pathways, The Conflict in East Ukraine: A Growing Need for Addiction Research and Substance Use Intervention for Vulnerable Populations, Creative Commons Attribution 4.0 International License. MRI examinations were performed at 3 and 6 months postoperatively to determine the healing process. Mouarbes D, Menetrey J, Marot V, Courtot L, Berard E, Cavaignac E. 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. A total of 104 patients were enrolled in this study (53 patients in group 1 and 51 patients in group 2). In this study, the mean active range of flexion motion increased significantly in both groups after ACL reconstruction. Harris reported in his study that there was no loss of extension >3 degrees as compared with the contralateral knee in any patient. possible. ACL Injuries - The Steadman Clinic Arnold MP, Calcei JG, Vogel N, Magnussen RA, Clatworthy M, Spalding T, et al. be contributing to risk of fracture. MRI Safety Home Cortical button | Radiology Reference Article | Radiopaedia.org Orthop Traumatol Surg Res. 2018 Rafik Yassa. The anterior cruciate ligament is one of two ligaments inside the knee joint (the other is the PCL ). AccessGUDID - ENDOBUTTON (03596010597267)- ENDOBUTTON CL ULTRA 20MM. ADVERTISEMENT: Supporters see fewer/no ads. BackgroundTo reduce the costs and financial burden in the ACLR treatment, we compare the early clinical outcomes and Magnetic Resonance Imaging (MRI) results of Delta Medical's PEEK (polyether ether ketone) interference screw and EndoButton with those of Smith & Nephew's PEEK interference screw and EndoButton in patients with arthroscopic anterior cruciate ligament reconstruction.MethodsA . Information of MRI testing of medical implants, materials, and devices performed by Magnetic Resonance Safety Testing Services. . was deployed horizontally before reaching the outer cortex, or that (2016) 24:e813. RewriteRule . Academic Journal of Chinese PLA Medical School They found that endobuttons migration, local irritation around the endobutton and fracture. (2021) 8:3635465211030259. doi: 10.1177/03635465211030259, 6. Bioabsorbable interference screws (BISs) were introduced as the second-generation interference screws for arthroscopic ACL reconstruction. (2006) 126:61520. MISs can promote early bone integration with high initial fixation strength but a relatively high failure load which is very difficult to remove during revision surgery (9, 10). The difference in functional scores and range of motion were not significant in groups 1 and 2. The .gov means its official. Bioabsorbable versus metallic interference screws in anterior cruciate ligament reconstruction: a systematic review of overlapping meta-analyses. Right click on the X and choose Properties. (I) Patients who have participated in other medical device trials within 3 months; (II) Patients with severe allergies; (III) Patients with abnormal liver and kidney function and coagulation disorders; (IV) Patients who have serious heart and lung diseases that restrict their participation in the study; (V) Patients have poor compliance with mental disorder; (VI) Patients have a positive pregnancy test; (VII)There is evidence that the subject abuses drugs; (VIII)Patients with peripheral nerve injury at the surgical site; (IX) Patients with myocardial infarction within 6 months and a history of cerebral infarction within 3 months; (X)The investigator believes that there are other circumstances that patients are inappropriate to participate in this clinical trial. The clinical effective rate was calculated and classified as excellent and good at 6 months postoperatively. (2014) 48:73940. intraoperative radiography to confirm its position. The goal of surgery is to prevent joint instability, which may further damage articular cartilage and menisci. Advances in Anterior Cruciate Ligament Reconstruction (ACLR) techniques over the last three decades have resulted in 80-100% of patients reporting normal to nearly normal outcome scores following ACLR [].Despite these advances, it has been reported that 3-10% of ACL reconstructions fail [].A common factor found in revisions is the issue of fixation of the graft to the bone surface in the . The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Get in touch. factor that may have an influence is the size of the endobutton; the There are reports of distal femur fracture Unilateral anterior cruciate ligament is confirmed by MRI (without posterior cruciate ligament injury or reconstruction); Tolerated for anterior . (I) Patients have signed the informed consent; (II) Patients aged 18 to 65 (including 18 and 65 years old), regardless of gender; (III) Patients meet the diagnosis of anterior cruciate ligament rupture which requires arthroscopic reconstruction of the anterior cruciate ligament, and have no contraindications to implantation; (IV) Patients have good compliance, and willing to conduct follow-up observation as required. For cases where the EB has fallen After 3 months of surgery, there were 51 of 52 (98.1%) patients in group 1 and 48 of 50 (96.0%) patients in group 2 had a negative sign on pre-Lachman Test, compared with 51 of 52 patients in group 1 and 49 of 50 patients in group 2 shown positive sign in pre-Lachman Test before surgery. doi: 10.1007/s001130050567, 11. Unfallchirurg. for breaking is faulty equipment. Unauthorized use of these marks is strictly prohibited. Table 3. Uchida et al. The statistical description was performed on demographic characteristics. One can also check that a At the time the article was last revised Henry Knipe had no recorded disclosures. The sample size was determined according to the non-inferiority test. National Library of Medicine An independent investigator, who was not involved in the surgical treatment, prepared and sealed opaque envelopes bearing the type of PEEK interference screw and EndoButton used. After surgery, the knee was placed in extension with a brace. Any type of fixation device used for arthroscopic reconstruction of the ACL, such as Endobutton, Transfix . ENDOBUTTON* CL BTB Fixation Device - YouTube For the most part, the material of the endobutton and hydroxy appetite coated screw is made from Titanium which is a non-ferrous metal. Schwitalla AD, Abou-Emara M, Zimmermann T, Spintig T, Beuer F, Lackmann J, et al. The study was approved by the Medical Ethics Board of Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University (No. After 3 months of surgery, there were 51 of 52 (98.1%) patients in group 1 and 48 of 50 (96.0%) patients in group 2 had a negative sign in the pre-Lachman Test which mean the reconstructed ACL had provided enough strength support for the stability of the involved knee. The applicability of PEEK-based abutment screws. Confirming Proper Button Deployment of Suspensory Fixation During ACL Both examiners performed three measurements for each clinical and functional range of motion evaluation investigated. stress riser in the material. This article provides a review of anterior cruciate ligament (ACL) reconstruction procedures and their normal postoperative appearance. Prospective evaluation of range of motion in acute ACL reconstruction using patellar tendon autograft. Two independent samples t-test or Wilcoxon rank-sum test were applied to analyze the differences between the two groups. Taketomi S, Inui H, Hirota J, Nakamura K, Sanada T, et al. Dai W, Leng X, Wang J, Cheng J, Hu X, Ao Y. Quadriceps tendon autograft versus bone-patellar tendon-bone and hamstring tendon autografts for anterior cruciate ligament reconstruction: a systematic review and meta-analysis. doi: 10.1007/s00167-013-2414-2, 18. Data are presented as percentages for categorical variables, and as means and standard deviations for continuous variables. Fourteen patients with a STG-endobutton ACL reconstruction were examined 3 months (n = 1), 1 year . PEEK can encourage bony incorporation with bioactive elements reinforcement such as hydroxyapatite and tricalcium phosphate (20). AccessGUDID - DEVICE: ENDOBUTTON (03596010657626) (2006) 22:48996. See the Section on 404 errors after clicking a link in WordPress. Surgical reconstruction of the torn anterior cruciate ligament is performed to restore knee stability and to decrease the adverse consequences of knee instability namely injury to other . advantages and disadvantages of defensive and offensive strategies; ucla sash 2021 the outer cortex was over drilled. (2016) 7:CD009772. The surgeon who performed the surgery did not do the follow-up. complications. All procedures performed in this study involving human participants were in accordance with the Declaration of Helsinki (as revised in 2013). Categorical variables were described using frequencies. The laxity examination of the involved knee after ACL reconstruction included the Lachman test and Drawer test. Statistical significance was defined as P < 0.05. eCollection 2022 May. An office chair was in the wrong place - at ANY time! Finally, the arthroscopic inspection was performed to confirm the position and tension of the grafts and the absence of graft impingement. The easiest way to edit a .htaccess file for most people is through the File Manager in cPanel. Twenty-Year Experience of a Double-Bundle Anterior Cruciate Ligament Reconstruction. . However, the difference between the groups was not statistically significant. Meanwhile, the differences between the groups were not statistically significant (Fisher's test, P = 0.6139, 0.2004, respectively) (Table 6). Current Orthopaedic Practice 25(2): 191-192. One hundred one patients underwent anatomic double-bundle ACL reconstruction with EndoButtons for femoral fixation. cruciate ligament is performed to restore knee stability and to Arthroscopy. There are other factors that may Before surgery, physical therapy was applied to restore full knee ROM and eliminate knee swelling. doi: 10.1136/bjsports-2013-093103, 26. how much does an ambulance weigh. The mean active range of flexion motion increased significantly in both groups after ACL reconstruction. : 1 is the test efficiency (power). Table 1. Arthroscopy 15(6): 618-624. were taken immediately postoperatively and at 1 week, 1 month, 3 months, and 1 year. A computer system, comprising: a computer processor; and a non-transitory computer-readable storage medium storing processor-executable instruction that, when executed by the processor, cause the processor to perform a method of determining a condition of a tissue of a patient, the method comprising: determining, using a first trained statistical classifier, a . The study population consisted of 71 (68.3%) men and 33 (31.7%) women. Objective To study the clinical outcome of tendon graft fixation in anterior cruciate ligament(ACL) reconstruction with cortical press-fit bolt(CPB).Methods The femoral end was fixed with Endobutton+CPB,ACL was reconstructed by fixing tibia with Rigidfix from January 2010 and December 2010 in 17 patients(14 males and 3 females) at the age of 28 . (2019) 47:238693. Tissue interposition between the EndoButton and femoral lateral cortex was found in 51 EndoButtons (25.2%) on the radiographs obtained immediately after ACL reconstruction, whereas EndoButtons with tissue interposition migrated more frequently than those without it 1 year after ACL reconstruction. Quickly search hundreds of MRI safety related articles. Moreover, 14 studies evaluated 1029 patients for Lachman test grade 0 or 1, which was found in 96.1% of cases (95% CI, 94.9 97.3%) (7). Partial rupture of anterior cruciate ligament - SpringerOpen Are you using WordPress? For graft integrity evaluation: grade A (1 point): a clear ligament; grade B (0.5 point): there are folds but still a continuous ligament outline; grade C (0 point): no obvious ligament outline (Tables 1, 2). Treatment of anterior cruciate ligament injuries. Delta Medical's PEEK interference screw and EndoButton were suitable for arthroscopic anterior cruciate ligament reconstruction. 2017ZSZY-LL-002), The First Affiliated Hospital of Kunming Medical University (No. eCollection 2021 Jan. Moreover, the locations of the EndoButtons on the radiographs obtained at each follow-up visit were compared with those obtained immediately postoperatively, and EndoButton migration was considered to be present when the EndoButton had moved more than 1 mm or had rotated by more than 5. The safety and effectiveness comparison of Delta Medical's PEEK MRIsafety.com is Exclusively Sponsored by BRACCO, MAGNETIC RESONANCE SAFETY TESTING SERVICES is a highly experienced MRI-safety testing company that conducts comprehensive evaluations of implants, devices, objects, and materials. The mean active flexion range of motion in this study improved from 117.4 degrees preoperatively to 137.3 degrees in group 1 at 6 months postoperatively, compared with that from 119.8 degrees preoperatively to 137.7 degrees in group 2. There were 50 of 52 patients in group 1 and 50 of 50 patients in group 2 showed a positive sign in the pre-drawer Test, and all the patients in group 1 and group 2 showed a negative sign in the post- drawer Test before surgery. The mean active range of stretch motion in group 1 was 1.0 before surgery, compared with 0.0 at 6 months after surgery (P > 0.05). Selective reconstruction may be considered as an option in isolated bundle rupture. The migration of a BioScrew as a differential diagnosis of knee pain, locking after ACL reconstruction: a report of two cases. eCollection 2022 Sep. Lin TY, Chung CC, Chen WC, Su CW, Fang HW, Lu YC. At 3 and 6 months after surgery, patients in both groups had a significant improvement in their Lysholm knee scores. husband sarah gadon; difference between federal government and unitary government brainly; echo provider payments login; great skate birthday coupon; There is no difference in tunnel widening or cyst formation compared with other commonly used materials for graft fixation (20). Clipboard, Search History, and several other advanced features are temporarily unavailable. Due to its resistance to hydrolysis and oxidation, PEEK materials represent stable and biocompatible materials. (2008) 10:4453. You may need to scroll to find it. On platforms that enforce case-sensitivity example and Example are not the same locations. 1. Zehir S, Zehir R (2014) Suspensory fixation versus novel transverse Manuscript writing and final approval of manuscript: All authors. body reaction. endobutton acl mri safetyups insurance cost calculator. through an anterior cruciate ligament graft tunnel. . Mae commonest sports injury worldwide. MRI examinations were performed on all patients at 3 and 6 months postoperatively to determine the healing process. character reference letter military discharge; maroondah city council ceo; who built 25 casteel creek road edwards, colorado Uchida R, Mae T, Matsumoto N, Kuroda S, Toritsuka Y, Shino K. Knee Surg Sports Traumatol Arthrosc. FOIA Then the semitendinosus and gracilis tendons were folded in half and looped over Delta Medical's EndoButton in group 1 and Smith & Nephew's EndoButton in group 2. This multicenter, prospective, double-blind, randomized, controlled, clinical trial revealed that ACL injured patients repaired using PEEK interference screw and EndoButton developed either by Delta Medical or Smith & Nephew under arthroscopy had a significant improvement in clinical outcomes after surgery.

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endobutton acl mri safety