Minimal Ablation of the Tibial Stump Using Bony Landmarks Improved Stability and Synovial Coverage Following Double-Bundle Anterior Cruciate Ligament Reconstruction
العنوان: | Minimal Ablation of the Tibial Stump Using Bony Landmarks Improved Stability and Synovial Coverage Following Double-Bundle Anterior Cruciate Ligament Reconstruction |
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المؤلفون: | Tomohito Hino, Takayuki Furumatsu, Yuya Kodama, Yusuke Kamatsuki, Toshifumi Ozaki |
المصدر: | Knee Surgery & Related Research |
بيانات النشر: | Springer Science and Business Media LLC, 2018. |
سنة النشر: | 2018 |
مصطلحات موضوعية: | musculoskeletal diseases, Anterior cruciate ligament reconstruction, medicine.medical_treatment, Anterior cruciate ligament, 03 medical and health sciences, 0302 clinical medicine, Double bundle, medicine, Knee, Orthopedics and Sports Medicine, 030222 orthopedics, medicine.diagnostic_test, business.industry, Arthroscopy, 030229 sport sciences, musculoskeletal system, Ablation, medicine.anatomical_structure, Knee laxity, Anterior instability, Original Article, Tibial bony landmark, Surgery, Knee joint laxity, Reconstruction, Nuclear medicine, business, Double-Bundle |
الوصف: | Purpose To evaluate the clinical effects of using anatomical bony landmarks (Parsons' knob and the medial intercondylar ridge) and minimal ablation of the tibial footprint to improve knee anterior instability and synovial graft coverage after double-bundle anterior cruciate ligament reconstruction. Materials and methods We performed a retrospective comparison of outcomes between patients who underwent reconstruction with minimal ablation of the tibial footprint, using an anatomical tibial bony landmark technique, and those who underwent reconstruction with wide ablation of the tibial footprint. Differences between the two groups were evaluated using second-look arthroscopy, radiological assessment of the tunnel position, postoperative anterior knee joint laxity, and clinical outcomes. Results Use of the anatomical reference and minimal ablation of the tibial footprint resulted in a more anterior positioning of the tibial tunnel, with greater synovial coverage of the graft postoperatively (p=0.01), and improved anterior stability of the knee on second-look arthroscopy. Both groups had comparable clinical outcomes. Conclusions Use of anatomical tibial bony landmarks that resulted in a more anteromedial tibial tunnel position improved anterior knee laxity, and minimal ablation improved synovial coverage of the graft; however, it did not significantly improve subjective and functional short-term outcomes. |
تدمد: | 2234-2451 2234-0726 |
DOI: | 10.5792/ksrr.18.024 |
URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::bed35414259c01014f21e2614570d5b2 https://doi.org/10.5792/ksrr.18.024 |
Rights: | OPEN |
رقم الانضمام: | edsair.doi.dedup.....bed35414259c01014f21e2614570d5b2 |
قاعدة البيانات: | OpenAIRE |
تدمد: | 22342451 22340726 |
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DOI: | 10.5792/ksrr.18.024 |