Femoral and Tibial Tunnel Widening following Anterior Cruciate Ligament Reconstruction using Various Modalities of Fixation: A Prospective Observational Study
| Autor: | Rama Prakasha Saya, Mahesha Kanthila, Dileep Krishnamoorthy Srinivas, Jvs Vidyasagar |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Anterior cruciate ligament reconstruction Anterior cruciate ligament medicine.medical_treatment Clinical Biochemistry lcsh:Medicine Computed tomography 03 medical and health sciences Fixation (surgical) 0302 clinical medicine Medicine femoral tunnel Prospective cohort study Fibrous joint 030222 orthopedics Femoral tunnel medicine.diagnostic_test business.industry Tibial tunnel lcsh:R computed tomography 030229 sport sciences General Medicine musculoskeletal system Surgery medicine.anatomical_structure graft Orthopaedics Section business Nuclear medicine |
| Zdroj: | Journal of Clinical and Diagnostic Research, Vol 10, Iss 11, Pp RC09-RC11 (2016) |
| Popis: | Introduction: Bone tunnel enlargement after Anterior Cruciate Ligament Reconstruction (ACL-R) is a well-accepted phenomenon but there are very few published data comparing the extent of tunnel widening by various methods of fixation after ACL-R. Aim: To compare the femoral and tibial tunnel widening following ACL-R with different methods of fixation using CT scan. Materials and Methods: This one year prospective study included all patients with chronic Anterior Cruciate Ligament (ACL) injury who underwent primary arthroscopic ACL-R using tripled hamstring tendon autograft. The graft was fixed to the tibial tunnel by Interference Screw (IFS) or Suture Disc (SD) and to the femoral tunnel by IFS, SD, Cross-Pin (CP) or Endobutton CL (Smith & Nephew). The widening of the tibial and femoral tunnels in different methods of fixation was assessed by Computed Tomography (CT) at 12 months follow-up; and was compared using paired sample test. Results: A total of 63 patients were included in the study of which 58 (92%) were males and 5 (8%) were females, with a mean age of 29.1 ± 5.9 years. The tibial tunnel widening at one year follow-up was 1.680 ± 1.08794 (19.37%) and 1.517 ± 0.94834 mm (17.39%) by IFS and SD methods respectively. Femoral tunnel widening at one year follow-up was 1.294 ± 0.231, 1.809 ± 0.912, 1.320 ± 0.238, 1.779 ± 0.889 mm by IFS, SD, EB, and CP methods respectively. Femoral tunnel widening following suture disc method of fixation was very highly significant (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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