Short-term Outcome of Bi-socket ACL Reconstruction using Double Spike Plate Fixation

We have been using double spike plate (DSP) fixation for bi-socket ACL reconstruction since February 2000. In the first 15 cases, a total of 100N were applied for graft tension at the time of fixation when the knee was bent at 80 degrees. We evaluated whether this setting was “over-tightening” taking the patients' symptoms into consideration.Five patients complained of stiffening in their knee, despite finally regaining full ROM. Side-to-side anterior laxity differences were evaluated as not tight (Max: -0.5mm). However, the duration until regaining full ROM was significantly longer than other patients (p=0.0011).For bi-socket ACL reconstruction using DSP fixation, our fixation setting was critical in considering the patients' symptoms although it led to acceptable anterior stability.