| Anatomical placement of double femoral tunnels in anterior cruciate ligament reconstruction: anteromedial tunnel first or posterolateral tunnel first? | |
| | |
MedLine Citation:
|
PMID: 20814663 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
PURPOSE: The purpose of this study was to know which tunnel-the anteromedial (AM) bundle or the posterolateral (PL) bundle-should be prepared first to create the 2 femoral tunnels accurately in anatomic double-bundle (DB) anterior cruciate ligament (ACL) reconstruction. METHODS: Thirty-four patients were divided into 2 groups of 17 depending on the sequence of preparation of the 2 femoral tunnels. In group A, the AM tunnel was prepared first, whereas the PL tunnel was prepared first in group P. ACL reconstruction was performed using a three-dimensional (3-D) fluoroscopy-based navigation system to place the double femoral tunnels through an accessory medial portal. The double femoral socket positioning was evaluated by 3-D computed tomography (CT) scan image. RESULTS: The non-anatomical placement of the femoral sockets occurred in 5 patients (29%) in group A, whereas the 2 sockets were placed anatomically in all patients in group P (P < 0.05). Evaluation of the AM and the PL socket location on the 3-D CT images using the quadrant method showed more similar values to the laboratory data in a literature in group P than in group A. No complication occurred in group A, whereas complications such as socket communications or back wall blowout occurred in 5 patients (29%) in group P (P < 0.05). CONCLUSION: The sequence of creating 2 femoral tunnels through accessory medial portal affected the resultant location of the sockets and the rate of the complications. When femoral tunnels are prepared with a transportal technique, PL tunnel first technique seems to be superior to AM first technique regarding anatomic placement. However, PL tunnel first technique accompanies the risk of socket communication. |
| | |
Authors:
|
Shuji Taketomi; Takumi Nakagawa; Hideki Takeda; Kohei Nakajima; Shuichi Nakayama; Atsushi Fukai; Jinso Hirota; Yoshinori Kachi; Hirotaka Kawano; Toshiki Miura; Naoshi Fukui; Kozo Nakamura |
Related Documents
:
|
12975183 - Effect of hemorrhage on medial collateral ligament healing in a mouse model. 16344493 - Expression of the matrix receptor cd44v5 on chondrocytes changes with osteoarthritis: a... 10597123 - Treatment of peyronie's disease by extracorporeal shockwave therapy: evaluation of our ... |
Publication Detail:
|
Type: Journal Article Date: 2010-09-03 |
Journal Detail:
|
Title: Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA Volume: 19 ISSN: 1433-7347 ISO Abbreviation: Knee Surg Sports Traumatol Arthrosc Publication Date: 2011 Mar |
Date Detail:
|
Created Date: 2011-02-14 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9314730 Medline TA: Knee Surg Sports Traumatol Arthrosc Country: Germany |
Other Details:
|
Languages: eng Pagination: 424-31 Citation Subset: IM |
Affiliation:
|
Department of Orthopaedic Surgery, Faculty of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Double-bundle ACL reconstruction demonstrated superior clinical stability to single-bundle ACL recon...
Next Document: Shed blood re-transfusion provides no benefit in computer-assisted primary total knee arthroplasty.