Anatomical Single-bundle Anterior Cruciate Ligament Reconstruction Using a Freehand Transtibial Technique
The Journal of Korean Knee Society
; : 117-122, 2015.
Article
en En
| WPRIM
| ID: wpr-759169
Biblioteca responsable:
WPRO
ABSTRACT
PURPOSE: In anatomical single-bundle (SB) anterior cruciate ligament (ACL) reconstruction, the traditional transtibial approach can limit anatomical placement of the femoral tunnel. SURGICAL TECHNIQUE: We present a novel three-point freehand technique that allows for anatomic SB ACL reconstruction with the transtibial technique. MATERIALS AND METHODS: Between January 2012 and December 2012, 55 ACL reconstructions were performed using the three-point freehand technique. All the patients were followed for a minimum of 12 months post-operatively. Clinical evaluation was done using the Lysholm score and International Knee Documentation Committee (IKDC) grade. All patients were analyzed by 3-dimensional computed tomography (3D CT) at 1 week after surgery. RESULTS: The mean Lysholm score improved from 68.2+/-12.7 points preoperatively to 89.2+/-8.2 points at final follow-up. At final follow-up, the IKDC grade was normal in 42 patients and nearly normal in 13 patients. None of the patients had a positive pivot shift test, anterior drawer test and Lachman test at final follow-up. The anatomical position of the femoral tunnel was confirmed on 3D CT scans. CONCLUSIONS: The three-point freehand technique for SB transtibial ACL reconstruction is a simple, anatomic technique showing good clinical results.
Palabras clave
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Tomografía Computarizada por Rayos X
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Estudios de Seguimiento
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Ligamento Cruzado Anterior
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Reconstrucción del Ligamento Cruzado Anterior
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Rodilla
Tipo de estudio:
Observational_studies
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Prognostic_studies
Límite:
Humans
Idioma:
En
Revista:
The Journal of Korean Knee Society
Año:
2015
Tipo del documento:
Article