One-stage revision anatomic anterior cruciate ligament reconstruction with rectangular tunnel technique

We developed the anatomic rectangular tunnel anterior cruciate ligament reconstruction (ART ACLR) with a bone–patellar tendon–bone graft to mimic fibre arrangement inside the native ACL via tunnels with smaller apertures. With a 10-mm-wide graft, the cross-sectional area of the tunnels of 50 mm(2) i...

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Detalles Bibliográficos
Autores principales: Shino, Konsei, Mae, Tatsuo, Take, Yasuhiro, Iuchi, Ryo, Nakagawa, Shigeto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Asia-Pacific Knee, Arthroscopy and Sports Medicine Society 2015
Materias:
Review Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5730639/
https://www.ncbi.nlm.nih.gov/pubmed/29264239
http://dx.doi.org/10.1016/j.asmart.2014.12.003
Descripción
Sumario:We developed the anatomic rectangular tunnel anterior cruciate ligament reconstruction (ART ACLR) with a bone–patellar tendon–bone graft to mimic fibre arrangement inside the native ACL via tunnels with smaller apertures. With a 10-mm-wide graft, the cross-sectional area of the tunnels of 50 mm(2) in ART ACLR is less than that of 79 mm(2) in a 10-mm round tunnel one. Because tunnel encroachment would be less of a problem, the ART ACLR technique could be most frequently applied to patients after a failed primary ACLR. In this instructional lecture, the indication and technical considerations for ART ACLR as one-stage revision ACLR are described.

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