Cargando…
Arthroscopic evaluation of the ACL double bundle structure
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 th...
Autores principales: | , , , |
---|---|
Formato: | Texto |
Lenguaje: | English |
Publicado: |
Springer-Verlag
2009
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3085755/ https://www.ncbi.nlm.nih.gov/pubmed/19333575 http://dx.doi.org/10.1007/s00167-009-0783-3 |
_version_ | 1782202652694675456 |
---|---|
author | Steckel, Hanno Fu, F. H. Baums, M. H. Klinger, H. M. |
author_facet | Steckel, Hanno Fu, F. H. Baums, M. H. Klinger, H. M. |
author_sort | Steckel, Hanno |
collection | PubMed |
description | 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. |
format | Text |
id | pubmed-3085755 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2009 |
publisher | Springer-Verlag |
record_format | MEDLINE/PubMed |
spelling | pubmed-30857552011-06-06 Arthroscopic evaluation of the ACL double bundle structure Steckel, Hanno Fu, F. H. Baums, M. H. Klinger, H. M. Knee Surg Sports Traumatol Arthrosc Knee 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. Springer-Verlag 2009-03-31 2009-07 /pmc/articles/PMC3085755/ /pubmed/19333575 http://dx.doi.org/10.1007/s00167-009-0783-3 Text en © Springer-Verlag 2009 |
spellingShingle | Knee Steckel, Hanno Fu, F. H. Baums, M. H. Klinger, H. M. Arthroscopic evaluation of the ACL double bundle structure |
title | Arthroscopic evaluation of the ACL double bundle structure |
title_full | Arthroscopic evaluation of the ACL double bundle structure |
title_fullStr | Arthroscopic evaluation of the ACL double bundle structure |
title_full_unstemmed | Arthroscopic evaluation of the ACL double bundle structure |
title_short | Arthroscopic evaluation of the ACL double bundle structure |
title_sort | arthroscopic evaluation of the acl double bundle structure |
topic | Knee |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3085755/ https://www.ncbi.nlm.nih.gov/pubmed/19333575 http://dx.doi.org/10.1007/s00167-009-0783-3 |
work_keys_str_mv | AT steckelhanno arthroscopicevaluationoftheacldoublebundlestructure AT fufh arthroscopicevaluationoftheacldoublebundlestructure AT baumsmh arthroscopicevaluationoftheacldoublebundlestructure AT klingerhm arthroscopicevaluationoftheacldoublebundlestructure |