Articulated Bone Block for Posterior Cruciate Ligament Reconstruction Using Bone–Patellar Tendon–Bone Autograft: Surgical Technique to Facilitate Graft Passage
| Autor: | Montse García-Balletbó, Eduard Alentorn-Geli, Ramón Cugat, Pedro Álvarez-Díaz, Gilbert Steinbacher, Roberto Seijas, Xavier Cuscó, David Barastegui, Jordi Navarro |
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| Rok vydání: | 2018 |
| Předmět: |
Orthopedic surgery
musculoskeletal diseases 030222 orthopedics Femoral tunnel medicine.medical_specialty business.industry Posterior Cruciate Ligament Reconstruction 030229 sport sciences musculoskeletal system Tendon Surgery 03 medical and health sciences Bone patellar tendon bone Fixation (surgical) surgical procedures operative 0302 clinical medicine medicine.anatomical_structure Bone block Technical Note Medicine Femoral bone Orthopedics and Sports Medicine Tibia business RD701-811 |
| Zdroj: | Arthroscopy Techniques, Vol 7, Iss 2, Pp e131-e137 (2018) Arthroscopy Techniques |
| ISSN: | 2212-6287 |
| Popis: | Posterior cruciate ligament reconstruction using the transtibial technique provides successful clinical outcomes. However, a bone–patellar tendon–bone (BTB) autograft with the transtibial technique has not been used by some surgeons because of concerns with graft passage from the tibial to the femoral tunnels (sharp turn) that can damage graft fibers. In the present surgical technique, an arthroscopic, transtibial, single-bundle technique for posterior cruciate ligament reconstruction using the BTB autograft with an easy and effective technical tip to facilitate graft passage is presented. Once the BTB is harvested, the femoral bone block is divided into 2 equal-sized blocks providing an articulated structure while preserving the tendon component. This facilitates the passage of the BTB tendon once it is entered in the posterior tibia and the graft has to make a sharp turn to reach the femoral tunnel. This easy and effective technique tip may avoid graft damage during the sharp turn, while maintaining all the advantages of a BTB autograft (bone-to-bone healing, own tissue with fast incorporation, and strong fixation and stability). |
| Databáze: | OpenAIRE |
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