No Tunnel 2-Socket Technique: All-Inside Anterior Cruciate Ligament Double-Bundle Retroconstruction

Smith, Patrick A.; Schwartzberg, Randy; Lubowitz, James H.

doi:10.1016/j.arthro.2008.06.004

Cited by 28 publications

(19 citation statements)

References 14 publications

(25 reference statements)

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“…However, other studies reported these respective parameters with considerable variability, as follows: 26.4% and 25.3% in a radiographic study of 7 cadaveric specimens, 30 21% and 24% in an anatomic study of 22 cadaveric knees with intact ACLs, 43 21.7% and 33.2% in a 3D CT study of 8 cadaveric knees, 31 and 27.7% and 16.3% in a study of 71 patients who underwent ACL reconstruction. 32 Cadaveric donors are often older than patients undergoing ACL reconstruction, and differences in age, with possible involvement of age-related osteoarthritis, could give rise to disparities between cadaveric and clinical study results. 44 The results of our study suggest that the AM tunnel aperture is located slightly anterior to the anatomic footprint as compared with previous reports (28.7% along, and 23.8% perpendicular to, the Blumensaat line).…”

Section: Discussionmentioning

confidence: 99%

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Short-Term Study of the Outcome of a New Instrument for All-Inside Double-Bundle Anterior Cruciate Ligament Reconstruction

Watanabe

Takahashi

Hino

et al. 2015

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Section: Discussionmentioning

confidence: 99%

“…Smith et al 32 were the first authors to describe an allinside double-bundle ACL reconstruction procedure.…”

Section: Discussionmentioning

confidence: 99%

Short-Term Study of the Outcome of a New Instrument for All-Inside Double-Bundle Anterior Cruciate Ligament Reconstruction

Watanabe

Takahashi

Hino

et al. 2015

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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“…The procedure was associated with reduced surgical invasion, faster recovery after the surgery, and reduced pain. [2][3][4][5][6] Being a new technique, only few studies have reported the clinical and functional outcomes following all-inside ACL restoration. 7,8 Therefore, our main objective was to assess the functional and clinical effectiveness of the anatomic all-inside ACL restoration technique during the 6 months follow-up.…”

Section: Introductionmentioning

confidence: 99%

Preliminary Results in Anatomic All-inside Anterior Cruciate Ligament Reconstruction

Russu

Bățagă

Feier

et al. 2016

Journal of Interdisciplinary Medicine

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Introduction: Anterior cruciate ligament (ACL) rupture is one of the most common lesions in knee traumatology; therefore the number of ACL reconstructions is increasing worldwide. Usually, an anteromedial (AM) accessory portal is required in anatomical positioning of the femoral tunnel, which is not absolutely necessary in this technique. Aim: Assessment of all-inside ACL reconstruction preliminary clinical results with adjustable loops and buttons on both femoral and tibial surfaces. Method: Our prospective study included 28 subjects (19 male, 9 female) with chronic ACL ruptures. The mean age of the study population was 27.72 ± 8.23 years. In all cases ACL reconstruction was carried out with the use of quadrupled semitendinosus auto-grafts with adjustable loops and buttons on the femoral and tibial surfaces and anatomic placement of both tunnels, using an outside-in technique, with flipcutters (Arthrex®). Clinical and radiological evaluations were carried out before surgery and at 3 and 6 months postoperatively, with the Lysholm scoring system, the Tegner activity scale and anterior-posterior and latero-lateral X-rays. Anterior knee laxity was measured in 25° of flexion using a portable arthrometer (RolimeterTM, Aircast®) and maximum manual force. Results: During the final follow-up, the Lysholm score was good and excellent in 27 cases, with a mean Lysholm score of 95.55 ± 4.63; all results were classified as good. The mean preoperative Tegner activity score was 3.46 ± 1.71 (range: 1-7), and the post-operative mean score was 5.75 ± 2.24 (range: 2-10). We found no graft ruptures. Preoperative knee laxity measurements showed a mean displacement of 11.5 ± 3.1 mm and side-to-side differences of 5.6 ± 3.5 mm, while the postoperative measurements at the last follow-up were 6.3 ± 1.54 mm and 2.65 ± 1.86 mm, respectively. Conclusion: Short-term clinical outcomes of all-inside ACL restoration with anatomic placement femoral and tibial tunnels seem to recommend this surgical option, with good subjective and objective results. Additional research will have to prove the long-term success.

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“…(B) Fixation of semitendinosus hamstring graft utilizing a double-bundle ACL reconstruction technique. (Reproduced with permission from [10]). (C) Bioenhanced ACL repair.…”

Section: Anterior Cruciate Ligament Injuries Repair Limitations and Sumentioning

confidence: 99%

The Past, Present And Future Of Ligament Regenerative Engineering

2016

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Regenerative engineering has been defined as the convergence of Advanced Materials Sciences, Stem Cell Sciences, Physics, Developmental Biology and Clinical Translation for the regeneration of complex tissues and organ systems. Anterior cruciate ligament (ACL) reconstruction necessitates the regeneration of bone, ligament and their interface to achieve superior clinical results. In the past, the ACL has been repaired with the use of autologous and allogeneic grafts, which have their respective drawbacks. Currently, investigations on the use of biodegradable matrices to achieve knee stability and permit tissue regeneration are making promising advancements. In the future, utilizing regenerative biology cues to induce an endogenous regenerative response may aid the enhancement of clinical ACL reconstruction outcomes.

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No Tunnel 2-Socket Technique: All-Inside Anterior Cruciate Ligament Double-Bundle Retroconstruction

Cited by 28 publications

References 14 publications

Short-Term Study of the Outcome of a New Instrument for All-Inside Double-Bundle Anterior Cruciate Ligament Reconstruction

Short-Term Study of the Outcome of a New Instrument for All-Inside Double-Bundle Anterior Cruciate Ligament Reconstruction

Preliminary Results in Anatomic All-inside Anterior Cruciate Ligament Reconstruction

The Past, Present And Future Of Ligament Regenerative Engineering

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