Arthroscopic evaluation of the ACL double bundle structure.
Knee Surg Sports Traumatol Arthrosc
; 17(7): 782-5, 2009 Jul.
Article
de En
| MEDLINE
| ID: mdl-19333575
ABSTRACT
In order to describe the arthroscopic presence of the double bundle structure and to evaluate the value of different portals in knee arthroscopy, we assessed the AM and PL bundle anatomy. We prospectively examined the knees of 60 patients undergoing arthroscopic surgery for pathology unrelated to the ACL. Arthroscopy was performed in a two portal technique using an anterolateral (ALP) and an anteromedial (AMP) portal. With the arthroscope in the ALP, we could distinguish an AM and PL bundle in 28%. Switching the arthroscope to the AMP, differentiation of the bundles was possible in 67%. In all remaining cases visualization of the PL bundle was possible after retraction of the AM bundle. Use of AMP increased visualization of the PL bundle. It seems reasonable to perform arthroscopy for ACL reconstruction with the arthroscope in the AMP and to establish an additional medial working portal to increase the visualization of the femoral ACL insertion sites for optimal femoral tunnel placement.
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Arthroscopie
/
Ligament croisé antérieur
Type d'étude:
Evaluation_studies
/
Observational_studies
Limites:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Langue:
En
Journal:
Knee Surg Sports Traumatol Arthrosc
Sujet du journal:
MEDICINA ESPORTIVA
/
TRAUMATOLOGIA
Année:
2009
Type de document:
Article
Pays d'affiliation:
Allemagne