Creation of femoral tunnel by outside-in technique for ACL reconstruction: an analysis

Sinha, S.M.; Naik, Amruta; Meena, Durgashankar; Jain, Vijay Kumar; Arya, R.R.

doi:10.1007/s00402-014-2078-5

Cited by 16 publications

(14 citation statements)

References 37 publications

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“…xation devices and biology of graft incorporation, there is very little literature mentioning the superiority within the hamstring graft types [34,39,40]. This study adds to the discussion on graft healing, maturation, the necessity for surgeons to objectively assess healing after ACL reconstruction and the bene ts of an individualized surgery, including graft choice.…”

Section: Discussionmentioning

confidence: 87%

Outcome of hamstring graft with preserved insertion: Prospective Study with 5 year Follow-up

Gupta

Singhal

Mehta

et al. 2020

Preprint

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BackgroundAutologous hamstring graft remains to be a commonly used graft for Anterior Cruciate Ligament (ACL) in sportspersons. With less graft failure rates, better mechanical stability and proprioception with preserved insertion hamstring graft, we investigated long term outcomes of hamstring graft with preserved insertion. Methods: 441 sportspersons were enrolled in the study. They were divided into two groups by computerized randomization. In Group I, ACL reconstruction was done using hamstring free graft (STGF), and in Group II, ACL reconstruction was done using hamstring graft with preserved tibial insertion (STGPI). Postoperatively, patients were assessed for graft rupture, knee stability, Lysholm score, tegner activity and WOMAC score.ResultsThe average age of the patients was 24 ± 2 years in group 1 and 27 ± 8.5 years in group 2. At 5 years, the mean KT-1000 difference was 2.01 in group 1 and 1.96 in group 2 (P = 0.77); the mean Lysholm score was 97.80 and 98.60(p = 0.07), respectively; mean WOMAC score was 3.09 and 3.12(p = 0.89) respectively; mean difference between the pre-injury and post-surgery Tegner level of sports activity was 1.78 and 0.54(P < 0.05), respectively and graft failure rate was 4.1% and 7.7%.(p < 0.05), respectively.ConclusionWe report STGPI to be a more viable option than hamstring free graft in sportspersons for ACL reconstruction due to less graft failure rates and better tegner activity score postoperatively. Further, STGPI is an option with low graft failure rate like that of Bone Patellar Tendon Bone graft,with added advantage of not having significant donor site morbidity.Level of EvidenceLevel 1, Randomized Controlled Trial

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Section: Discussionmentioning

confidence: 87%

Outcome of hamstring graft with preserved insertion: Prospective Study with 5 year Follow-up

Gupta

Singhal

Mehta

et al. 2020

Preprint

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“…The femoral tunnel was prepared by outside in technique using 115° ACL guide (Arthrex) placed over the femoral footprint of ACL [ Figure 2a ]. 1 6 The ACL remnant over footprint was not debrided completely on either side. The guide wire was passed, and a 2–3 cm incision [ Figure 2b ] was made over the lateral side of thigh centered at guide wire.…”

Section: Methodsmentioning

confidence: 99%

“…The technique of arthroscopic anterior cruciate ligament reconstruction (ACLR) has undergone many modifications in the recent times with improved understanding of anatomy, kinematics, and biology of the graft. 1 2 3 …”

Section: Introductionmentioning

confidence: 99%

Anterior Cruciate Ligament Reconstruction with Tibial Attachment Preserving Hamstring Graft without Implant on Tibial Side

Sinha

Naik

Maheshwari

et al. 2018

IJOO

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“…This may create a stress riser in the distal fibula and the opportunity for fracture. Tunneled tendon grafts have been safely used in many ligament reconstruction surgeries, 16,22,24,26,27 but there are a number of differences between anatomic lateral ankle ligament reconstruction and other tunneled ligament reconstructions: (1) the size of the tunnels relative to the size of the distal fibula (usually 5-6-mm tunnels), (2) the proximity of the 2 tunnels (the center of the origin of the ATFL and CFL are separated by only 1.6 mm), 6 and (3) the frequent existence of suture anchors from the previous repair adjacent to the tunnels. Any of these factors may predispose the anatomic lateral ankle ligament reconstruction to complications.…”

Section: Introductionmentioning

confidence: 99%

Fracture Through a Distal Fibular Tunnel Used for an Anatomic Lateral Ankle Ligament Reconstruction

Roward

Latt

2018

Foot & Ankle Orthopaedics

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Anatomic lateral ankle ligament reconstruction using free tendon graft with osseous tunnels has become a popular technique for revision reconstruction of the lateral ankle ligaments. With the procedure's burgeoning popularity, an accompanying increase in postoperative complications is likely to occur. We report on one such complication: traumatic distal fibula fracture through the transosseous tunnels.

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Creation of femoral tunnel by outside-in technique for ACL reconstruction: an analysis

Abstract: III.

Cited by 16 publications

References 37 publications

Outcome of hamstring graft with preserved insertion: Prospective Study with 5 year Follow-up

Outcome of hamstring graft with preserved insertion: Prospective Study with 5 year Follow-up

Anterior Cruciate Ligament Reconstruction with Tibial Attachment Preserving Hamstring Graft without Implant on Tibial Side

Fracture Through a Distal Fibular Tunnel Used for an Anatomic Lateral Ankle Ligament Reconstruction

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