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Erschienen in: Clinical Orthopaedics and Related Research® 7/2016

10.05.2016 | CORR Insights

CORR Insights®: Does Anteromedial Portal Drilling Improve Footprint Placement in Anterior Cruciate Ligament Reconstruction?

verfasst von: Freddie H. Fu, MD

Erschienen in: Clinical Orthopaedics and Related Research® | Ausgabe 7/2016

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Excerpt

The current study by Arno and colleagues compares the footprint coverage of anteromedial portal and modified transtibial ACL reconstruction, and its influence on validated outcomes scores and objective measurements of knee stability. The study confirms the current knowledge that transtibially drilled femoral tunnels are more vertical compared to both the native ACL and bone tunnels drilled through an anteromedial portal. Interestingly, the tibial bone tunnels are located posterior and medial to the native ACL in both groups. This finding is consistent with previous studies for the transtibial group [2, 5], but not for independently drilled tunnels. However, at short-term followup, the study groups were comparable in terms of knee stability and patient-reported outcomes. …
Literatur
1.
Zurück zum Zitat Araujo PH, Kfuri Junior M, Ohashi B, Hoshino Y, Zaffagnini S, Samuelsson K, Karlsson J, Fu F, Musahl V. Individualized ACL reconstruction. Knee Surg Sports Traumatol Arthrosc. 2014;22:1966–1975.CrossRefPubMed Araujo PH, Kfuri Junior M, Ohashi B, Hoshino Y, Zaffagnini S, Samuelsson K, Karlsson J, Fu F, Musahl V. Individualized ACL reconstruction. Knee Surg Sports Traumatol Arthrosc. 2014;22:1966–1975.CrossRefPubMed
2.
Zurück zum Zitat Chen Y, Chua KH, Singh A, Tan JH, Chen X, Tan SH, Tai BC, Lingaraj K. Outcome of single-bundle hamstring anterior cruciate ligament reconstruction using the anteromedial versus the transtibial technique: A systematic review and meta-analysis. Arthroscopy. 2015;31:1784–1794.CrossRefPubMed Chen Y, Chua KH, Singh A, Tan JH, Chen X, Tan SH, Tai BC, Lingaraj K. Outcome of single-bundle hamstring anterior cruciate ligament reconstruction using the anteromedial versus the transtibial technique: A systematic review and meta-analysis. Arthroscopy. 2015;31:1784–1794.CrossRefPubMed
3.
Zurück zum Zitat Debandi A, Maeyama A, Hoshino Y, Asai S, Goto B, Smolinski P, Fu FH. The effect of tunnel placement on rotational stability after ACL reconstruction: Evaluation with use of triaxial accelerometry in a porcine model. Knee Surg Sports Traumatol Arthrosc. 2013;21:589–595.CrossRefPubMed Debandi A, Maeyama A, Hoshino Y, Asai S, Goto B, Smolinski P, Fu FH. The effect of tunnel placement on rotational stability after ACL reconstruction: Evaluation with use of triaxial accelerometry in a porcine model. Knee Surg Sports Traumatol Arthrosc. 2013;21:589–595.CrossRefPubMed
4.
Zurück zum Zitat Hofbauer M, Muller B, Murawski CD, van Eck CF, Fu FH. The concept of individualized anatomic anterior cruciate ligament (ACL) reconstruction. Knee Surg Sports Traumatol Arthrosc. 2014;22:979–986.PubMed Hofbauer M, Muller B, Murawski CD, van Eck CF, Fu FH. The concept of individualized anatomic anterior cruciate ligament (ACL) reconstruction. Knee Surg Sports Traumatol Arthrosc. 2014;22:979–986.PubMed
5.
Zurück zum Zitat Riboh JC, Hasselblad V, Godin JA, Mather RC 3rd. Transtibial versus independent drilling techniques for anterior cruciate ligament reconstruction: A systematic review, meta-analysis, and meta-regression. Am J Sports Med. 2013;41:2693–2702.CrossRefPubMed Riboh JC, Hasselblad V, Godin JA, Mather RC 3rd. Transtibial versus independent drilling techniques for anterior cruciate ligament reconstruction: A systematic review, meta-analysis, and meta-regression. Am J Sports Med. 2013;41:2693–2702.CrossRefPubMed
6.
Zurück zum Zitat Wang H, Fleischli JE, Zheng NN. Transtibial versus anteromedial portal technique in single-bundle anterior cruciate ligament reconstruction: Outcomes of knee joint kinematics during walking. Am J Sports Med. 2013;41:1847–1856.CrossRefPubMed Wang H, Fleischli JE, Zheng NN. Transtibial versus anteromedial portal technique in single-bundle anterior cruciate ligament reconstruction: Outcomes of knee joint kinematics during walking. Am J Sports Med. 2013;41:1847–1856.CrossRefPubMed
Metadaten
Titel
CORR Insights®: Does Anteromedial Portal Drilling Improve Footprint Placement in Anterior Cruciate Ligament Reconstruction?
verfasst von
Freddie H. Fu, MD
Publikationsdatum
10.05.2016
Verlag
Springer US
Erschienen in
Clinical Orthopaedics and Related Research® / Ausgabe 7/2016
Print ISSN: 0009-921X
Elektronische ISSN: 1528-1132
DOI
https://doi.org/10.1007/s11999-016-4878-0

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