Iatrogenic lateral meniscus anterior horn injury in different tibial tunnel placement techniques in ACL reconstruction surgery – A cadaveric study

Karakaşlı, Ahmet; Acar, Nihat; Başçı, Onur; Karaarslan, Ahmet; Erduran, Mehmet; Kaya, Erol

doi:10.1016/j.aott.2016.08.009

Cited by 18 publications

(13 citation statements)

References 27 publications

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“…Among them, A is the partial differential operator, f refers to the deformation force, which is generally determined by the similarity measure, and Ω is the image smoothing range. In the nonparametric transformation method, through the improvement of the data item S and the regular term J in the partial differential equation (PDE) to be solved, the improvement of the constraint terms of the force field and the deformation field can be better realized, and the solution is especially flexible [ 17 , 21 ]. In the pseudo-physical transformation model of 2D images,

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Section: Repairing Meniscus Injury Of Football Sports With Perovskite Nanobiomaterialsmentioning

confidence: 99%

Artificial Intelligence in Repairing Meniscus Injury in Football Sports with Perovskite Nanobiomaterials

Wang

2021

Journal of Healthcare Engineering

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Knee meniscus injuries are more likely to occur in young adults in clinical practice, and their lower age of onset and greater impact on joint function after injury also put forward higher requirements for the treatment and rehabilitation of meniscus injuries. With the rapid development of artificial intelligence technology and arthroscopic minimally invasive technology, arthroscopic meniscus plasty and perovskite nanobiomaterial repair have gradually replaced the previous open meniscus surgery of the knee joint and has become the main method of meniscus injury treatment, and the perovskite nanobiomaterial repair technique that incorporates artificial intelligence technology is also gradually being applied. Therefore, this article studies the role of perovskite nanobiomaterials in the repair of meniscus injuries in football sports and analyzes the biological characteristics of the inner and outer meniscus to provide help to improve the healing rate of meniscus injuries. The study selected six male meniscus-injured patients (meniscus injuries caused by football sports) and obtained six injured menisci. The same cross section of the same part of the meniscus was analyzed inside and outside the meniscus. At the same time, a meniscal injury step was performed on the patient. The biological characteristics of perovskite nano-biomaterials in the repair of meniscus injuries in football sports were compared and analyzed, and the patient's gait before and after surgery was also compared. Experiments have shown that the percentage of the postoperative support phase of the affected limb is significantly higher than that before surgery ( P < 0.05 ), the percentage of the postoperative support phase and flatfoot phase decreased compared with that before surgery, and the gait cycle parameters of both lower extremities improved after surgery, obviously ( P < 0.05 ). It explains that the arthroscopic repair of perovskite nanobiomaterials combined with the artificial intelligence technology to repair the meniscus anterior angle injury is simple and does not require special equipment, has fewer complications, is safe and reliable, and has a high clinical healing rate and a high patient satisfaction rate after surgery. The curative effect is significant; artificial intelligence technology and the application of perovskite nanobiomaterials provide more possibilities for meniscus repair.

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Section: Repairing Meniscus Injury Of Football Sports With Perovskite Nanobiomaterialsmentioning

confidence: 99%

Artificial Intelligence in Repairing Meniscus Injury in Football Sports with Perovskite Nanobiomaterials

Wang

2021

Journal of Healthcare Engineering

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“…Despite anatomic double-bundle ACL reconstruction, the excessively large diameter of the tibial tunnel broke the anterior horn of the lateral meniscus. 13 The results of our study suggest that tape sutures are suitable for hamstring graft preparation owing to their ability to minimize the changes in graft diameter.…”

Section: Discussionmentioning

confidence: 67%

“… 12 Therefore, if the diameter of the tibial tunnels is larger than the actual size of the ACL footprint, there is a risk of breaking the anterior horn of the lateral meniscus. 13 …”

mentioning

confidence: 99%

Hamstring Graft Prepared With Suture Tape Is Effective in Anterior Cruciate Ligament Reconstruction: A Biomechanical Analysis

Kamiya

Otsubo

Suzuki

et al. 2021

Arthroscopy, Sports Medicine, and Rehabilitation

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Purpose: To investigate the graft diameters and mechanical properties of hamstring tendons sutured using different materials and techniques. Methods: This study used 30 fresh, frozen human cadaveric semitendinosus tendons; the free ends of 10 specimens each were sutured by 2 No. 3 braided polyester sutures with the Krackow technique (BP group), SutureTape with the Krackow technique (ST group), or SutureTape Loop with the locking SpeedWhip technique (SL group). First, the changes in graft diameter from before suturing to after suturing were investigated. Each graft was pretensioned to 100 N for 3 cycles and then cyclically loaded to 200 N for 200 cycles. Elongation after cyclic loading and displacement in the 200th cycle were calculated. Finally, each specimen was loaded to failure. The ultimate failure load and stiffness were analyzed. These mechanical properties were statistically analyzed using 1-way analysis of variance. The level of statistical significance was set at P < .05. Results: In the BP group, the changes in graft diameter were significantly larger than those in the ST and SL groups (P ¼ .001). The elongation values after 200 cycles in the BP and ST groups were 3.1 AE 2.0 mm and 5.9 AE 3.4 mm, respectively. In the SL group, elongation (7.7 AE 3.6 mm) was significantly larger compared with that in the BP group (P ¼ .037). In contrast, displacement in the 200th cycle was significantly smaller in the ST and SL groups compared with the BP group (P ¼ .017). No statistically significant difference was evident for the ultimate failure loads among the 3 groups (P ¼ .543). Conclusions: The results of this study suggest that SutureTape may be an appropriate option for preparing the hamstring graft in anatomic anterior cruciate ligament (ACL) reconstruction. Clinical Relevance: This biomechanical study shows the effectiveness of SutureTape in ACL graft preparation. Clinically, SutureTape may be of benefit in single-or double-bundle ACL reconstruction.

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“…Lateral meniscus and stability should be examined arthroscopically after reaming with large reamers. 31 …”

Section: Discussionmentioning

confidence: 99%

Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction with Hamstring Tendon Autograft through Single Femoral Tunnel and Single Branched Tibial Tunnel

Selim

2018

Arthroscopy Techniques

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Conventional single-bundle anterior cruciate ligament (ACL) reconstruction cannot improve the rotational stability of the knee. Traditional double-bundle ACL reconstruction requires is demanding, complex, time- and implant consuming, and associated with a high incidence of complications. Double-bundle ACL reconstruction using a free quadriceps tendon autograft through 3 independent tunnels provides some advantage, but the antegrade graft passage, tibial tunnel confluence, and graft site morbidity represent disadvantages. This Technical Note describes a modification of double-bundle ACL reconstruction using the hamstring tendon autograft through a single branched tibial tunnel and a single femoral tunnel using 2 interference screws (Arthrex, Naples, FL). The gracilis tendon autograft is passed through tibial tunnel stem to the posterolateral tibial tunnel branch to the posterolateral position in the femoral tunnel. The semitendinosus tendon autograft is passed through the tibial tunnel stem to the anteromedial tibial tunnel branch to the anteromedial position in the femoral tunnel. Both grafts are fixed by 2 interference screws: 1 at the femoral tunnel and 1 at the tibial tunnel stem with the knee at 20° flexion.

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Iatrogenic lateral meniscus anterior horn injury in different tibial tunnel placement techniques in ACL reconstruction surgery – A cadaveric study

Cited by 18 publications

References 27 publications

Artificial Intelligence in Repairing Meniscus Injury in Football Sports with Perovskite Nanobiomaterials

Artificial Intelligence in Repairing Meniscus Injury in Football Sports with Perovskite Nanobiomaterials

Hamstring Graft Prepared With Suture Tape Is Effective in Anterior Cruciate Ligament Reconstruction: A Biomechanical Analysis

Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction with Hamstring Tendon Autograft through Single Femoral Tunnel and Single Branched Tibial Tunnel

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