Femoral Tunnel Position on Conventional Magnetic Resonance Imaging After Anterior Cruciate Ligament Reconstruction in Young Men: Transtibial Technique Versus Anteromedial Portal Technique

Noh, Jung Ho; Roh, Young Hak; Yang, Bo; Yi, Seung Rim; Lee, Sung Yup

doi:10.1016/j.arthro.2013.01.025

Cited by 52 publications

(61 citation statements)

References 35 publications

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“…Despite significant differences in tunnel positioning, no differences in clinical outcome measures were observed between our groups. Some studies indicate that TP drilling of the femoral tunnel improves clinical outcome [23,24], while other studies do not report any obvious differences [25][26][27]. In our study, clinical outcome was assessed using subjective questionnaires, and not by objective clinical assessment of laxity, which may have moderated potential differences.…”

Section: Discussionmentioning

confidence: 97%

Transportal femoral drilling creates more horizontal ACL graft orientation compared to transtibial drilling: A 3D CT imaging study

Clockaerts¹,

Haver²,

Verhaegen³

et al. 2016

The Knee

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Section: Discussionmentioning

confidence: 97%

Transportal femoral drilling creates more horizontal ACL graft orientation compared to transtibial drilling: A 3D CT imaging study

Clockaerts¹,

Haver²,

Verhaegen³

et al. 2016

The Knee

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“…The IKDC objective score was analyzed as a dichotomous variable (16,19–22) and the OR value was defined as ‘(number of patients rated A and B)/(number of patients rated C and D)’. There were 305 patients in five studies included in the comparison between the sTT and the ID techniques.…”

Section: Resultsmentioning

confidence: 99%

“…An analysis on the Lachman test results as dichotomous variables was conducted (14,16,19,22) and the OR value was defined as ‘(number of patients with positive test results)/(number of patients with negative test results)’. There were 159 patients in four studies included in the comparison between the sTT and the ID techniques.…”

Section: Resultsmentioning

confidence: 99%

“…The Lysholm knee score was analyzed as a continuous variable (14,16,19,14) in eight articles where a total number of 501 patients were included in the comparison between the sTT and the ID techniques. The results indicated no statistically significant differences in Lysholm knee score between the sTT and the ID group [SMD=−0.19, 95% CI (−0.44, 0.06), P=0.14].…”

Section: Resultsmentioning

confidence: 99%

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A meta‑analysis on anterior cruciate ligament reconstruction: Is modified transtibial technique inferior to independent drilling techniques?

2018

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This report respectively compared the standard transtibial (sTT) technique to the independent drilling (ID) techniques applied to anterior cruciate ligament (ACL) reconstruction. It also made a comparison between the clinical results of the modified transtibial (mTT) technique and of the ID techniques. Prospective studies on transtibial (TT) and ID techniques for ACL reconstruction were retrieved from several databases and a subgroup analysis was performed to compare the sTT technique with the ID techniques and the mTT with the ID techniques. Furthermore, comparison of the Lachman test, pivot-shift test, International Knee Documentation Committee (IKDC) subjective and objective evaluations, Lysholm score and Tegner activity scale were conducted. This report included 12 clinical studies that involved 681 patients having received ACL reconstruction. The study results indicated that in comparison between the sTT and ID techniques, the ID techniques outperformed the sTT technique in the IKDC subjective score (P=0.01) and laxity (P=0.0004). However, there was no significant difference in the IKDC objective score (P=0.34), pivot-shift test (P=0.24), Lachman test (P=0.21), Lysholm score (P=0.14) and Tegner activity scale (P=0.66). The comparison between the new mTT technique and the ID techniques suggested no significant difference in the IKDC objective and subjective scores (P=0.86), laxity (P=0.38), pivot-shift test (P=0.66), Lachman test (P=0.10), Lysholm score (P=0.10) and Tegner activity scale (P=0.55). Compared to the sTT technique, the mTT and ID techniques are more suitable for ACL reconstruction because they can present better subjective feelings. Moreover, considering that the TT technique is familiar to surgeons and the mTT technique can bring favorable subjective feelings and objective clinical outcomes, the mTT technique shows greater utilization potential.

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“…Evaluation of the "anatomic" placements of the tunnels necessitates the use of imaging studies. Post-operative imaging has increased in popularity [11][12][13][14][15][16][17][18][19][20][21].…”

Section: Introductionmentioning

confidence: 99%

Measurements of tunnel placements after anterior cruciate ligament reconstruction — A comparison between CT, radiographs and MRI

et al. 2015

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Femoral Tunnel Position on Conventional Magnetic Resonance Imaging After Anterior Cruciate Ligament Reconstruction in Young Men: Transtibial Technique Versus Anteromedial Portal Technique

Cited by 52 publications

References 35 publications

Transportal femoral drilling creates more horizontal ACL graft orientation compared to transtibial drilling: A 3D CT imaging study

Transportal femoral drilling creates more horizontal ACL graft orientation compared to transtibial drilling: A 3D CT imaging study

A meta‑analysis on anterior cruciate ligament reconstruction: Is modified transtibial technique inferior to independent drilling techniques?

Measurements of tunnel placements after anterior cruciate ligament reconstruction — A comparison between CT, radiographs and MRI

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