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Anatomical Single-bundle Anterior Cruciate Ligament Reconstruction Using a Freehand Transtibial Technique
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 w...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Knee Society
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4458482/ https://www.ncbi.nlm.nih.gov/pubmed/26060611 http://dx.doi.org/10.5792/ksrr.2015.27.2.117 |
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author | Nha, Kyung-Wook Han, Jae-Hwi Kwon, Jae-Ho Kang, Kyung-Woon Park, Hyung-Joon Song, Jae-Gwang |
author_facet | Nha, Kyung-Wook Han, Jae-Hwi Kwon, Jae-Ho Kang, Kyung-Woon Park, Hyung-Joon Song, Jae-Gwang |
author_sort | Nha, Kyung-Wook |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-4458482 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | The Korean Knee Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-44584822015-06-09 Anatomical Single-bundle Anterior Cruciate Ligament Reconstruction Using a Freehand Transtibial Technique Nha, Kyung-Wook Han, Jae-Hwi Kwon, Jae-Ho Kang, Kyung-Woon Park, Hyung-Joon Song, Jae-Gwang Knee Surg Relat Res Technical Note 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. The Korean Knee Society 2015-06 2015-06-01 /pmc/articles/PMC4458482/ /pubmed/26060611 http://dx.doi.org/10.5792/ksrr.2015.27.2.117 Text en Copyright © 2015 KOREAN KNEE SOCIETY http://creativecommons.org/licenses/by-nc/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Technical Note Nha, Kyung-Wook Han, Jae-Hwi Kwon, Jae-Ho Kang, Kyung-Woon Park, Hyung-Joon Song, Jae-Gwang Anatomical Single-bundle Anterior Cruciate Ligament Reconstruction Using a Freehand Transtibial Technique |
title | Anatomical Single-bundle Anterior Cruciate Ligament Reconstruction Using a Freehand Transtibial Technique |
title_full | Anatomical Single-bundle Anterior Cruciate Ligament Reconstruction Using a Freehand Transtibial Technique |
title_fullStr | Anatomical Single-bundle Anterior Cruciate Ligament Reconstruction Using a Freehand Transtibial Technique |
title_full_unstemmed | Anatomical Single-bundle Anterior Cruciate Ligament Reconstruction Using a Freehand Transtibial Technique |
title_short | Anatomical Single-bundle Anterior Cruciate Ligament Reconstruction Using a Freehand Transtibial Technique |
title_sort | anatomical single-bundle anterior cruciate ligament reconstruction using a freehand transtibial technique |
topic | Technical Note |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4458482/ https://www.ncbi.nlm.nih.gov/pubmed/26060611 http://dx.doi.org/10.5792/ksrr.2015.27.2.117 |
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