Arthroscopic Control for Safe and Secure Seating of Suspensory Devices for Femoral Fixation in Anterior Cruciate Ligament Reconstruction Using Three Different Techniques
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
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 and Methods: 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.
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 and Methods: 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.
참고문헌 (13)
- Lee YS, "Analysis and prevention of intra-operative complications of TransFix fixation in anterior cruciate ligament reconstruction", Knee Surg Sports Traumatol Arthrosc, 16, pp.639~644 (2008)
- Lee YS, "Double-bundle anterior cruciate ligament reconstruction using two different suspensory femoral fixation : a technical note", Knee Surg Sports Traumatol Arthrosc, 15, pp.1023~1027 (2007)
- Alentorn-Geli E, "Anteromedial portal versus transtibial drilling techniques in ACL reconstruction : a blinded cross-sectional study at two-to five-year follow-up", Int Orthop, 34, pp.747~754 (2010)
- Chang CB, "Oblique femoral tunnel placement can increase risks of short femoral tunnel and cross-pin protrusion in anterior cruciate ligament reconstruction", Am J Sports Med, 38, pp.1237~1245 (2010)
- Yanmis I, "Dropping of an EndoButton into the knee joint 2 years after anterior cruciate ligament repair using proximal fixation methods", Arthroscopy, 20, pp.641~643 (2004)
- Lee YS, "Flipping method of a RetroButton during ACL reconstruction with outside-in femoral drilling using a FlipCutter", Orthopedics, 35, pp.861~864 (2012)
- Muneta T, "Intra-articular detachment of the Endobutton more than 18 months after anterior cruciate ligament reconstruction", Arthroscopy, 15, pp.775~778 (1999)
- Sonnery-Cottet B, "Arthroscopically confirmed femoral button deployment", Arthrosc Tech, 3, pp.e309~e312 (2014)
- Forsythe B, "The location of femoral and tibial tunnels in anatomic double-bundle anterior cruciate ligament reconstruction analyzed by three-dimensional computed tomography models", J Bone Joint Surg Am, 92, pp.1418~1426 (2010)
- Kopf S, "Nonanatomic tunnel position in traditional transtibial single-bundle anterior cruciate ligament reconstruction evaluated by three-dimensional computed tomography", J Bone Joint Surg Am, 92, pp.1427~1431 (2010)
- Zantop T, "Tunnel positioning of anteromedial and posterolateral bundles in anatomic anterior cruciate ligament reconstruction : anatomic and radiographic findings", Am J Sports Med, 36, pp.65~72 (2008)
- Milano G, "Comparison between different femoral fixation devices for ACL reconstruction with doubled hamstring tendon graft : a biomechanical analysis", Arthroscopy, 22, pp.660~668 (2006)
- Kamelger FS, "Suspensory fixation of grafts in anterior cruciate ligament reconstruction : a biomechanical comparison of 3implants", Arthroscopy, 25, pp.767~776 (2009)