Anterior Cruciate Ligament Reconstruction Using a Ribbon-Like Graft With a C-Shaped Tibial Bone Tunnel
| Autor: | Mirco Herbort, Elisabeth Abermann, Christian Fink, Rainer Siebold, Robert Smigielski |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Anterior cruciate ligament reconstruction medicine.medical_treatment Anterior cruciate ligament 03 medical and health sciences 0302 clinical medicine C shaped Technical Note medicine Orthopedics and Sports Medicine Femur Tibial bone Lateral meniscus Orthopedic surgery 030222 orthopedics business.industry 030229 sport sciences Anatomy musculoskeletal system Surgery medicine.anatomical_structure Quadriceps tendon business Hamstring RD701-811 |
| Zdroj: | Arthroscopy Techniques, Vol 9, Iss 2, Pp e247-e262 (2020) Arthroscopy Techniques |
| ISSN: | 2212-6287 |
| Popis: | According to recent anatomic studies, the anterior cruciate ligament (ACL) appears to be a flat, "ribbon-like" structure, with a thin, oval-shaped insertion on the femur and a C-shaped tibial insertion. According to this anatomy, we describe an ACL-reconstruction technique that aims to approximate this natural anatomy. The basic principle of this technique is not to use conventional round tunnels but create tunnel shapes that resemble more closely the original ACL insertion sites. Using either a rectangular quadriceps tendon graft or a "flat" hamstring graft may not only provide a biomechanical advantage with increased rotational stability but also improve bone-tendon healing due to increased bone-tendon contact and decreased diffusion length. Creating a C-shaped tibial tunnel also avoids laceration of the anterior horn of the lateral meniscus, which is frequently harmed during conventional tibial tunnel drilling. |
| Databáze: | OpenAIRE |
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