Prevention of Medial Femoral Condyle Injury by Using a Slotted Cannula in Anterior Cruciate Ligament Reconstruction

Chuaychoosakoon, Chaiwat; Duangnumsawang, Yada; Apivatgaroon, Adinun

doi:10.1016/j.eats.2017.06.021

Cited by 3 publications

(2 citation statements)

References 9 publications

(10 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The medial femoral condyle is carefully protected during the creation of the femoral tunnel to avoid an iatrogenic cartilage injury [17]. The graft should be inserted within the femoral tunnel, and it should be at least 15 mm in length.…”

Section: Recent Advances In Arthroscopic Surgerymentioning

confidence: 99%

Anatomic Single-Bundle ACL Reconstruction with Remnant Augmentation Technique

Apivatgaroon¹

2018

Recent Advances in Arthroscopic Surgery

Self Cite

View full text Add to dashboard Cite

Anterior cruciate ligament (ACL) injury is the common ligamentous injury of the knees. An ACL reconstruction is the procedure that has been proven to improve knee stability and functional outcomes and may prevent the osteoarthritic changes and subsequent meniscal injuries. The ACL reconstruction techniques have been developed in various ways. Anatomical single-bundle ACL reconstruction with remnant augmentation technique is the optimal reconstruction procedure. It may improve the clinical outcomes of biological healing, preserve the proprioceptive function, and has shown less tibial tunnel widening postoperatively. This chapter presents the step-by-step technique of an anatomical single-bundle ACL reconstruction, indication and contraindication for surgery, the preferred graft choice, fixation methods, pearls and pitfalls of the procedure, and postoperative rehabilitation. The review of literatures about the remnant preserving ACL reconstruction is also discussed in this chapter.

show abstract

Section: Recent Advances In Arthroscopic Surgerymentioning

confidence: 99%

Anatomic Single-Bundle ACL Reconstruction with Remnant Augmentation Technique

Apivatgaroon¹

2018

Recent Advances in Arthroscopic Surgery

Self Cite

View full text Add to dashboard Cite

show abstract

“…Single-bundle reconstruction is a traditional method, and its ability to restore normal knee function, especially flexion/extension, has been confirmed in multiple studies [ 3 , 4 ], but whether single-bundle reconstruction can recover the stability of knee rotation is still controversial [ 5 , 6 ]. Double-bundle reconstruction is a relatively new method which has not only some theoretical advantages but also has challenges due to positioning of the bone tunnel and has a higher risk of femoral epicondyle and bridge fracture compared with single-bundle reconstruction [ 7 ]. Additionally, double-bundle reconstruction is not suitable for patients with intercondylar fossa stenosis and the tibial plateau with small anteroposterior diameter [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

The Effect of Tibial Insertion Site in Single-Bundle ACL Reconstruction during Gait Based on Motion Capture and Musculoskeletal Model

Cao

et al. 2022

Journal of Healthcare Engineering

View full text Add to dashboard Cite

The purpose of this study was to investigate the effect of tibial insertion site (TIS) of the anterior cruciate ligament (ACL) in single-bundle ACL reconstruction on ligament force during gait. A musculoskeletal model with an ACL ligament was created, and gait data were collected based on the motion capture system from seven female patients with single-bundle ACL reconstruction. The TIS was simulated in OpenSim and systematically changed in 2.5 mm intervals (2.5 mm, 5.0 mm, and 7.5 mm) in the anteroposterior and mediolateral directions from the center. The changes of the ACL force overtime and peak force were compared using the Pearson correlation and paired t-test separately for all simulated TISs. The results indicated that anterior movement of the TIS would significantly increase the loading of reconstructed ACL and the risk of secondary injury, but the posterior TIS would keep the ACL loose during gait. The mediolateral change of the TIS also affected the ligament force during gait, which increased in the medial direction and decreased in lateral direction, but the magnitude of the change is relatively small compared with those measured in the anteroposterior direction. Therefore, during preoperative surgery planning, defining the outline of the ACL attachment site during surgery can help to guide the decision for the TIS and can significantly affect the reconstructed ACL force during gait, especially if the TIS is moved in the anteroposterior direction.

show abstract

Effect of anteromedial portal location on femoral tunnel inclination, length, and location in hamstring autograft-based single-bundle anterior cruciate ligament reconstruction: a prospective study

Alomar,

Baltow,

AlMogbil

2023

Knee Surg & Relat Res

View full text Add to dashboard Cite

Background Portal positioning in arthroscopic anterior cruciate ligament reconstruction is critical in facilitating the drilling of the femoral tunnel. However, the traditional approach has limitations. A modified inferior anteromedial portal was developed. Therefore, this study aims to compare the modified and conventional far anteromedial portals for femoral tunnel drilling, assessing factors such as tunnel length, inclination, iatrogenic chondral injury risk, and blowout. Material and methods Patients scheduled for hamstring autograft-based anatomical single-bundle arthroscopic anterior cruciate ligament reconstruction were divided into two groups: modified and far anteromedial groups. Primary outcomes include differences in femoral tunnel length intraoperatively, tunnel inclination on anteroposterior radiographs, and exit location on lateral radiographs. Secondary outcomes encompass tunnel-related complications and reconstruction failures. To identify potential risk factors for shorter tunnel lengths and posterior exits, regression analysis was conducted. Results Tunnel parameters of 234 patients were analyzed. In the modified portal group, femoral tunnel length and inclination were significantly higher, with tunnels exhibiting a more anterior exit position (p < 0.05). A higher body mass index exerted a negative influence on tunnel length and inclination. However, obese patients in the modified portal group had longer tunnels, increased inclination, and a lower risk of posterior exit. Only a few tunnel-related complications were observed in the far anteromedial group. Conclusion The modified portal allowed better control of tunnel length and inclination, ensuring a nonposterior femoral tunnel exit, making it beneficial for obese patients.

show abstract

Prevention of Medial Femoral Condyle Injury by Using a Slotted Cannula in Anterior Cruciate Ligament Reconstruction

Cited by 3 publications

References 9 publications

Anatomic Single-Bundle ACL Reconstruction with Remnant Augmentation Technique

Anatomic Single-Bundle ACL Reconstruction with Remnant Augmentation Technique

The Effect of Tibial Insertion Site in Single-Bundle ACL Reconstruction during Gait Based on Motion Capture and Musculoskeletal Model

Effect of anteromedial portal location on femoral tunnel inclination, length, and location in hamstring autograft-based single-bundle anterior cruciate ligament reconstruction: a prospective study

Contact Info

Product

Resources

About