Comparison of Tunnel Orientation Between Transtibial and Anteromedial Portal Techniques for Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction Using 3-Dimensional Computed Tomography

Takeda, Yoshitsugu; Iwame, Toshiyuki; Takasago, Tomoya; Kondo, Kenji; Goto, Tomohiro; Fujii, Koji; Naruse, Akira

doi:10.1016/j.arthro.2012.08.020

Cited by 50 publications

(39 citation statements)

References 37 publications

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“…Pre-operatively, average SF-36 score was 26.4 (SD 9.8) (range 16.8-40.3), VAS for pain was 8.2 (SD 1.2) (range [8][9][10].…”

Section: Primary Outcome Measuresmentioning

confidence: 99%

“…Any error in measurement can lead to difficulty in passing the endobutton via the lateral femoral cortex or can result in insufficient graft length available in the femoral tunnel for graft incorporation. Furthermore, recent studies showed that anatomic femoral tunnel placement results in shorter tunnel length and further concern for sufficient graft length available in the femoral tunnel [9].…”

Section: Introductionmentioning

confidence: 99%

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Cortical femoral suspensory fixation using screw post in anatomic single-bundle anterior cruciate ligament reconstruction: a prospective study and mid-term outcome results

Abdelkafy

2016

International Orthopaedics (SICOT)

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“…Pre-operatively, average SF-36 score was 26.4 (SD 9.8) (range 16.8-40.3), VAS for pain was 8.2 (SD 1.2) (range [8][9][10].…”

Section: Primary Outcome Measuresmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Cortical femoral suspensory fixation using screw post in anatomic single-bundle anterior cruciate ligament reconstruction: a prospective study and mid-term outcome results

Abdelkafy

2016

International Orthopaedics (SICOT)

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“…A maior crítica às reconstruções transtibiais é a alta frequência de posicionamentos não-anatômicos do enxerto, principalmente no fêmur 2,[4][5][6][7][8][9] . Nesse contexto, faz-se mister uma modificação técnica que permita a resolução do problema.…”

Section: Avaliadorunclassified

“…Uma das grandes alterações no procedimento cirúrgico foi a reintrodução da cirurgia anatômica do LCA em que o enxerto é colocado na área de inserção nativa do LCA 1 . Na técnica cirúrgica anterior, dita isométrica, em que o túnel femoral é geralmente realizado de maneira transtibial, a origem do túnel femoral costuma ficar alta em comparação à origem anatômica do LCA, resultando em uma posição verticalizada do enxerto nos aspectos sagital e coronal [2][3][4][5] . Um enxerto verticalizado pode resistir à translação anterior da tíbia, mas não aos movimentos de rotação do joelho 6 .…”

Section: Introductionunclassified

“…Com a introdução do conceito de cirurgia anatômica houve também a introdução do uso de três portais para facilitar a visualização da parede medial do côndilo femoral lateral 9 . Com isso, a técnica transportal para a perfuração do fêmur facilita a colocação anatômica do enxerto 2,[4][5][6] . No entanto, muitos cirurgiões ainda sentem-se confortáveis com o uso da técnica transtibial para a perfuração do fêmur, o que, em tese, resultaria em uma colocação não-anatômica do enxerto, em uma posição mais alta na parede do côndilo lateral 2,4-8 .…”

Section: Introductionunclassified

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Estudo radiográfico da reconstrução do ligamento cruzado anterior pela via transtibial

Fernandes

Franciozi

Fernandes

et al. 2014

Rev Bras Med Esporte

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rEsumoIntrodução: A ruptura do ligamento cruzado anterior (LCA) é frequente devido às atividades esportivas, e sua reconstrução tem sofrido constantes modificações com o aprimoramento das técnicas cirúrgicas. Objetivo: Avaliar radiologicamente o posicionamento dos túneis tibial e femoral com o uso da técnica transtibial auxiliada pela pré-perfuração femoral. Método: Análise radiológica (AP e perfil), na quarta semana de pós--operatório de 98 pacientes, totalizando 100 casos de reconstrução do LCA.

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Dimensional assessment of continuous loop cortical suspension devices and clinical implications for intraoperative button flipping and intratunnel graft length

Turnbull

LaPrade

Smith

et al. 2015

Journal Orthopaedic Research

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Continuous loop cortical suspension devices have been demonstrated to be more consistent and biomechanically superior compared to adjustable loop devices; however, continuous loop devices present unique challenges compared to adjustable loop devices, especially in short tunnel reconstruction applications. Specifically, adjustable loop devices have the advantage of a "one size fits all" approach, and the ability to tension these devices following button flipping allows for the intratunnel graft length to be maximized. Nevertheless, the reliability of continuous loop devices has sustained their widespread use. We hypothesized that continuous loop cortical suspension devices from different manufacturers would exhibit equivalent 15 mm loop lengths, as advertised. Loop length was measured using a tensile testing machine. Contrary to our hypothesis, continuous loop cortical suspension devices with equivalent advertised lengths exhibited different loop lengths (up to 27% discrepancy). Inconsistencies with regards to manufacturers' reported loop lengths for continuous loop devices could have serious clinical implications and additionally complicate technique transferal among devices. Consequently, the manufacturers' accurate and complete disclosure of the dimensions and specifications associated with each continuous loop device is critical. Furthermore, surgeon awareness of true loop length dimensions and inconsistencies among devices is needed to ensure optimal implantation and resultant clinical outcomes.

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Comparison of Tunnel Orientation Between Transtibial and Anteromedial Portal Techniques for Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction Using 3-Dimensional Computed Tomography

Cited by 50 publications

References 37 publications

Cortical femoral suspensory fixation using screw post in anatomic single-bundle anterior cruciate ligament reconstruction: a prospective study and mid-term outcome results

Cortical femoral suspensory fixation using screw post in anatomic single-bundle anterior cruciate ligament reconstruction: a prospective study and mid-term outcome results

Estudo radiográfico da reconstrução do ligamento cruzado anterior pela via transtibial

Dimensional assessment of continuous loop cortical suspension devices and clinical implications for intraoperative button flipping and intratunnel graft length

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