Anterior cruciate ligament reconstruction tunnel size: causes of tunnel enlargement and implications for single versus two-stage revision reconstruction.

Autor: Rizer M; Radiology Resident PGY-5, Department of Radiology, Mount Sinai Medical Center, Miami Beach, FL, USA. MagdaRizer@gmail.com., Foremny GB; Radiology Resident PGY-2, Department of Radiology, University of Miami /Jackson Memorial Hospital, Miami, FL, USA., Rush A 3rd; Orthopedic Surgery Resident PGY-2, Department of Orthopaedics, University of Miami /Jackson Memorial Hospital, Miami, FL, USA., Singer AD; Section of Musculoskeletal Imaging, Department of Radiology and Imaging Sciences, Emory Healthcare, Atlanta, GA, USA., Baraga M; Department of Orthopaedics, Orthopaedic Surgery Residency Program, University of Miami Miller School of Medicine, Miami, FL, USA., Kaplan LD; Division of Sports Medicine, Department of Orthopaedics, Department of Biomedical Engineering, Department of Kinesiology and Sports Sciences, University of Miami Miller School of Medicine, Miami, FL, USA., Jose J; Sports Medicine Imaging, Section of Musculoskeletal Imaging, Department of Radiology, University of Miami Miller School of Medicine, Miami, FL, USA.
Jazyk: angličtina
Zdroj: Skeletal radiology [Skeletal Radiol] 2017 Feb; Vol. 46 (2), pp. 161-169. Date of Electronic Publication: 2016 Nov 24.
DOI: 10.1007/s00256-016-2535-z
Abstrakt: Anterior cruciate ligament (ACL) reconstructions have increased over the past 25 years. The increased incidence of ACL reconstructions has translated into a larger number of graft failures and revision ACL procedures. It is important to understand the causes of graft failure when evaluating for a revision ACL reconstruction and to appreciate changes in tunnel anatomy over time prior to planning revision surgery. In this manuscript, tunnel size for ACL reconstruction and implications for single-stage versus two-stage revision ACL reconstruction will be discussed, as well as causes of tunnel enlargement, including mechanical and biological factors.
Databáze: MEDLINE
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