Cargando…
Modified transtibial versus anteromedial portal techniques for anterior cruciate ligament reconstruction, a comparative study
PURPOSE: This study compared the accessory anteromedial portal (AAMP) and the modified transtibial technique (MTTT)” for single-bundle anterior cruciate ligament (ACL) reconstruction. PATIENTS AND METHODS: Sixty active adult patients with ACL tear were randomly assigned into two equal groups who wer...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2018
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6165740/ https://www.ncbi.nlm.nih.gov/pubmed/30310333 http://dx.doi.org/10.2147/OAJSM.S157729 |
_version_ | 1783359895773380608 |
---|---|
author | Hussin, Ehab Abdelbaki Aldaheri, Asim Alharbi, Hatem Farouk, Hazem A |
author_facet | Hussin, Ehab Abdelbaki Aldaheri, Asim Alharbi, Hatem Farouk, Hazem A |
author_sort | Hussin, Ehab Abdelbaki |
collection | PubMed |
description | PURPOSE: This study compared the accessory anteromedial portal (AAMP) and the modified transtibial technique (MTTT)” for single-bundle anterior cruciate ligament (ACL) reconstruction. PATIENTS AND METHODS: Sixty active adult patients with ACL tear were randomly assigned into two equal groups who were treated surgically. One group was operated on using AAMP and the other group through MTTT. Both the groups had the same postoperative course and were followed for 1 year after surgery. The follow-up included Lysholm and International Knee Documentation Committee (IKDC) subjective knee evaluation forms, IKDC objective knee examination form, and radiological evaluation. Results were evaluated and compared with each other. RESULTS: There was no significant difference in subjective effects or clinical examination between the two groups. Regarding radiological angles, the AAMP had more oblique graft orientation in the coronal plane than the MTTT, but both were found to be more slanted than native ACL. Also, the MTTT had succeeded to place the graft and tunnel more obliquity than the traditional non-anatomic TTT and better than the anatomic ranges despite having the graft inclination of the AAMP higher than the MTTT. The complaints from the patients and subjective scoring were found to be positively related to graft stability. Patients with healthier preoperative subjective state had a smoother postoperative period and better outcome. CONCLUSION: This study offers simple modifications to the transtibial technique to allow near anatomic ACL reconstruction with similar results comparable to the AAMP and with fewer complications. |
format | Online Article Text |
id | pubmed-6165740 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-61657402018-10-11 Modified transtibial versus anteromedial portal techniques for anterior cruciate ligament reconstruction, a comparative study Hussin, Ehab Abdelbaki Aldaheri, Asim Alharbi, Hatem Farouk, Hazem A Open Access J Sports Med Original Research PURPOSE: This study compared the accessory anteromedial portal (AAMP) and the modified transtibial technique (MTTT)” for single-bundle anterior cruciate ligament (ACL) reconstruction. PATIENTS AND METHODS: Sixty active adult patients with ACL tear were randomly assigned into two equal groups who were treated surgically. One group was operated on using AAMP and the other group through MTTT. Both the groups had the same postoperative course and were followed for 1 year after surgery. The follow-up included Lysholm and International Knee Documentation Committee (IKDC) subjective knee evaluation forms, IKDC objective knee examination form, and radiological evaluation. Results were evaluated and compared with each other. RESULTS: There was no significant difference in subjective effects or clinical examination between the two groups. Regarding radiological angles, the AAMP had more oblique graft orientation in the coronal plane than the MTTT, but both were found to be more slanted than native ACL. Also, the MTTT had succeeded to place the graft and tunnel more obliquity than the traditional non-anatomic TTT and better than the anatomic ranges despite having the graft inclination of the AAMP higher than the MTTT. The complaints from the patients and subjective scoring were found to be positively related to graft stability. Patients with healthier preoperative subjective state had a smoother postoperative period and better outcome. CONCLUSION: This study offers simple modifications to the transtibial technique to allow near anatomic ACL reconstruction with similar results comparable to the AAMP and with fewer complications. Dove Medical Press 2018-09-19 /pmc/articles/PMC6165740/ /pubmed/30310333 http://dx.doi.org/10.2147/OAJSM.S157729 Text en © 2018 Hussin et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. |
spellingShingle | Original Research Hussin, Ehab Abdelbaki Aldaheri, Asim Alharbi, Hatem Farouk, Hazem A Modified transtibial versus anteromedial portal techniques for anterior cruciate ligament reconstruction, a comparative study |
title | Modified transtibial versus anteromedial portal techniques for anterior cruciate ligament reconstruction, a comparative study |
title_full | Modified transtibial versus anteromedial portal techniques for anterior cruciate ligament reconstruction, a comparative study |
title_fullStr | Modified transtibial versus anteromedial portal techniques for anterior cruciate ligament reconstruction, a comparative study |
title_full_unstemmed | Modified transtibial versus anteromedial portal techniques for anterior cruciate ligament reconstruction, a comparative study |
title_short | Modified transtibial versus anteromedial portal techniques for anterior cruciate ligament reconstruction, a comparative study |
title_sort | modified transtibial versus anteromedial portal techniques for anterior cruciate ligament reconstruction, a comparative study |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6165740/ https://www.ncbi.nlm.nih.gov/pubmed/30310333 http://dx.doi.org/10.2147/OAJSM.S157729 |
work_keys_str_mv | AT hussinehababdelbaki modifiedtranstibialversusanteromedialportaltechniquesforanteriorcruciateligamentreconstructionacomparativestudy AT aldaheriasim modifiedtranstibialversusanteromedialportaltechniquesforanteriorcruciateligamentreconstructionacomparativestudy AT alharbihatem modifiedtranstibialversusanteromedialportaltechniquesforanteriorcruciateligamentreconstructionacomparativestudy AT faroukhazema modifiedtranstibialversusanteromedialportaltechniquesforanteriorcruciateligamentreconstructionacomparativestudy |