Tunnel widening prevention with the allo-Achilles tendon graft in anterior cruciate ligament reconstruction: Surgical tips and short term followup

Autor: Seung Beom Han, Woo Jin Yeo, Bong Soo Kyung, Jae Ho Kwon, Won Hee Lee, Dong Won Suh
Jazyk: angličtina
Rok vydání: 2017
Předmět:
musculoskeletal diseases
medicine.medical_specialty
allograft
Anterior cruciate ligament reconstruction
Anterior cruciate ligament
Radiography
medicine.medical_treatment
achilles tendon
mesh:Anterior cruciate ligament
03 medical and health sciences
0302 clinical medicine
lcsh:Orthopedic surgery
mesh:allograft
medicine
Orthopedics and Sports Medicine
Reamer
tunnel widening MeSH terms: Anterior cruciate ligament
mesh:anterior cruciate ligament reconstruction
mesh:achilles tendon
030222 orthopedics
Achilles tendon
business.industry
Impaction
anterior cruciate ligament reconstruction
anterior cruciate ligament
030229 sport sciences
musculoskeletal system
Surgery
Allo-Achilles tendon graft
lcsh:RD701-811
medicine.anatomical_structure
Orthopedic surgery
tunnel widening
Original Article
business
Complication
Zdroj: Indian Journal of Orthopaedics
Indian Journal of Orthopaedics, Vol 51, Iss 2, Pp 174-181 (2017)
ISSN: 1998-3727
0019-5413
Popis: Background: Tunnel widening (TW) after anterior cruciate ligament (ACL) reconstruction can be a serious complication, and there is controversy over how to prevent it. This study aimed to suggest surgical approaches to prevent TW using an allo-Achilles tendon graft, and then to evaluate TW after these surgical tips were applied. Materials and Methods: Sixty two patients underwent ACL reconstruction with an allo-Achilles tendon graft. Four surgical approaches were used: Making a tibial tunnel by bone impaction, intraarticular reamer application, bone portion application for the femoral tunnel, and an additional bone plug application for the tibial tunnel. After more than 1-year, followup radiographs including anteroposterior and lateral views were taken in 29 patients encompassing thirty knees. The diameter of the tunnels at postoperation day 1 (POD1) and at followup was measured and compared. Results: In 18 knees (60%), there were no visible femoral tunnel margins on the radiographs at POD1 or followup. In the other 12 cases, which had visible femoral tunnel margins on followup radiographs, the mean femoral tunnel diameter was 8.6 mm. In the tibial tunnel, the mean diameters did not increase on all three levels (proximal, middle, and distal), and there was no statistically significant difference between the diameters at POD1 and followup. Conclusion: The suggested tips for surgery involving an allo-Achilles tendon graft can effectively prevent TW after ACL reconstruction according to this case series. These surgical tips can prevent TW.
Databáze: OpenAIRE
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