Arthroscopic Control for Safe and Secure Seating of Suspensory Devices for Femoral Fixation in Anterior Cruciate Ligament Reconstruction Using Three Different Techniques
The Journal of Korean Knee Society
;
: 33-38, 2017.
Article
in English
| WPRIM
| ID: wpr-759256
ABSTRACT
PURPOSE:
The purpose of this study was to evaluate the efficacy of our technique that allows direct visualization of seating of suspensory devices in anterior cruciate ligament (ACL) reconstruction. MATERIALS ANDMETHODS:
Three different suspensory devices (TightRope RT, RetroButton, and EndoButton) were used in ACL reconstruction using 3 different techniques (outside-in, anteromedial [AM] portal, and transtibial techniques). Positioning of a guiding material and seating pattern of the suspensory devices were evaluated according to the surgical technique and suspensory device used.RESULTS:
On the transtibial technique, 21 of total 26 cases (81%) of single bundle reconstructions and 22 of total 22 cases (100%) of double bundle reconstructions required superolateral capsulotomy where buttons were found in 21 of total 21 cases (100%) and 17 of 22 cases (77%), respectively. On the AM portal technique, all patients required capsulotomy and the button was found in only 18 of total 32 cases (56%) even after capsulotomy. On the outside-in technique, all patients required capsulotomy and the button was found in 86 of total 86 cases (100%).CONCLUSIONS:
Our technique for direct visualization of seating of the suspensory devices was more effective in outside-in and single bundle transtibial ACL reconstruction. However, it was less effective in double bundle transtibial and AM portal ACL reconstructions.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Anterior Cruciate Ligament
/
Anterior Cruciate Ligament Reconstruction
/
Knee
Limits:
Humans
Language:
English
Journal:
The Journal of Korean Knee Society
Year:
2017
Type:
Article
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