Enhanced Bone-Tendon-Bone Approach for Open Anterior Cruciate Ligament Replacement With Conservation of the Joint Capsule

Autor: Sebastian Gottfried Walter, M.Sc., Tom Sascha Thomas, M.D., Luca Tafuro, M.D., Wolfram Thomas, M.D., Ph.D.
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Arthroscopy Techniques, Vol 4, Iss 5, Pp e609-e613 (2015)
Druh dokumentu: article
ISSN: 2212-6287
DOI: 10.1016/j.eats.2015.06.010
Popis: Arthroscopic procedures for ruptured anterior cruciate ligament (ACL) tears are a common standard. However, there are strong alternatives to this standard. The purpose of this study is to present a precise, fast, and minimally invasive but open procedure for reconstruction of the ruptured ACL. The torn ACL is substituted by a widely used bone–patellar tendon–bone (BPTB) autograft. After the BPTB graft has been harvested, the Hoffa body is exposed and mobilized ventrally. The surgeon then has a free view of the remnants of the torn ACL, which are to be removed completely. Through the tibial and femoral footprints of the ACL, a tunnel is drilled under a direct view, thus ensuring optimal anatomic positioning of the BPTB graft. The described approach is simple in handling and advantageous because all steps are performed under a direct view, which improves overall precision and intraoperative functional control.
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