Tomographic Study of Femoral Positioning in Anterior Cruciate Ligament Reconstruction Using the Transtibial Technique
The Journal of Korean Knee Society
;
: 195-202, 2017.
Artigo
em Inglês
| WPRIM
| ID: wpr-759280
ABSTRACT
PURPOSE:
To analyze the location of the femoral tunnel by three-dimensional computed tomography (3D CT) of the lateral condyle in patients who underwent arthroscopic single-bundle anterior cruciate ligament (ACL) reconstruction, performed using a modified transtibial technique, and to compare the results with data from the literature. MATERIALS ANDMETHODS:
Seventeen patients with ACL lesions underwent modified transtibial ACL reconstruction. Postoperatively, 3D CT examinations were performed and the images were analyzed by the quadrant system described by Bernard and Hertel to define the femoral tunnel coordinates.RESULTS:
The mean value of femoral tunnel location coordinates was 37.1±5.9 in the horizontal plane and 23.9±7.5 in the vertical plane. Compared with other studies using the transtibial or transportal technique, femoral positioning was improved in the vertical plane. The outside-in technique provided the best results both in the vertical and horizontal planes.CONCLUSIONS:
The modified transtibial technique was not effective for systematically anatomic femoral tunnel positioning; however, it was relatively better than the conventional transtibial technique.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Ligamento Cruzado Anterior
/
Reconstrução do Ligamento Cruzado Anterior
/
Joelho
Limite:
Humanos
Idioma:
Inglês
Revista:
The Journal of Korean Knee Society
Ano de publicação:
2017
Tipo de documento:
Artigo
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