2016, Volume 12, Issue 1
Initial outcomes of anatomical anterior cruciate ligament reconstruction with PEEK CF interference screws in people practising extreme forms of physical activity – mental aspects
Rafał Camilleri1, Ewelina Pienczewska2, Agnieszka Rogowska2, Anna Samoraj-Dereszkiewicz3, Jan Serafin4, Wojciech Skrobot3
1Department of Natural Sciences, Gdansk University of Physical Education and Sport, Poland
2Student scientific circle, Gdansk University of Physical Education and Sport, Poland
3Department of Kinesiology, Gdansk University of Physical Education and Sport, Poland
4Institute of Mother and Child, Poland
Background and Study Aim: Anterior cruciate ligament (ACL) is one, if not the most important, ligament in the knee joint. An ACL injury most commonly occurs via a non-contact injury mechanism. Knee joint injuries are also the most common types of serious injuries in judo including ACL injury during e.g. uchi mata throw. The aim of the article is the initial results with the usage of polyether ether ketone carbon fibers (PEEK CF) implants in anatomical ACL reconstruction using semitendinosus and gracilis grafts.
Material and Methods: Among 50 patients we are selected 27 men practicing extreme forms of physical activity – EFPA (first criterion for inclusion): 12 games, team sport athletes (7 football, 4 handball, 1 volleyball); 10 combat sports athletes (5 judo, 3 kick boxing, 2 Thai boxing); 2 athletics; 3 neo-gladiators (MMA). All were operated on between September 2013 and March 2015, due to ACL injury (second criterion for inclusion). The control group consisted of 23 non professional athletes (also patients). The standard anatomical ACL reconstruction technique with semitendinosus and gracilis tendons graft were used in all patients. PEEK CF screws were used to secure the graft in the tibial tunnel and femoral tunnels.
Results: Patients were evaluated using the Lysholm Questionnaire and Tegner activity score after 12 months post-surgery. Good and excellent results were observed. All of the athletes, upon which the procedures were performed, returned to their sporting activities.
Conclusions: The use of PEEK CF material in ACL reconstruction looks promising. Further study and follow up is necessary. Proper education of the treatment of the ACL injury to the sport professionals may result with calming the fear of re-injury that is very common among patients.
Key words: injury, combat sports, athletic, neogladiators, team sports