Three-Dimensional Reconstruction Computed Tomography Evaluation of the Tunnel Location and Angle in Anatomic Single-Bundle Anterior Cruciate Ligament Reconstruction: A Comparison of the Anteromedial Portal and Outside-in Techniques
| Autor: | Sung Hae Bae, Kang-Il Kim, Chanil Bae, Sang Hak Lee |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Anterior cruciate ligament reconstruction Anterior cruciate ligament medicine.medical_treatment Computed tomography Width ratio 03 medical and health sciences 0302 clinical medicine Double bundle Posterior wall medicine Anteromedial portal technique Orthopedics and Sports Medicine Knee Three-dimensional computed tomography 030222 orthopedics Femoral tunnel medicine.diagnostic_test business.industry 030229 sport sciences medicine.anatomical_structure Outside-in technique Surgery Original Article Radiology Reconstruction Nuclear medicine business Hamstring |
| Zdroj: | Knee Surgery & Related Research |
| ISSN: | 2234-0726 |
| Popis: | Purpose: The purpose of this study was to compare the geometry and position of the femoral tunnel between the anteromedial portal (AMP) and outside-in (OI) techniques after anatomic single-bundle anterior cruciate ligament (ACL) reconstruction. Materials and Methods: We evaluated 82 patients undergoing single-bundle ACL reconstruction with hamstring autografts using either the AMP (n=40) or OI (n=42) technique. The locations of the tunnel apertures were assessed by postoperative 3-dimensional computed tomography imaging. The femoral graft bending angle, femoral tunnel aperture shape, femoral tunnel length, and posterior wall breakage were also measured. Results: The mean femoral tunnel position parallel to the Blumensaat line was more caudally positioned in the AMP group than in the OI group (p=0.025) The mean femoral graft angle in the OI group (99.6°±7.1°) was significantly more acute than that of the AMP group (108.9°±10.2°, p |
| Databáze: | OpenAIRE |
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