کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4042626 1603484 2015 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Tibial Tunnel Aperture Location During Single-Bundle Posterior Cruciate Ligament Reconstruction: Comparison of Tibial Guide Positions
ترجمه فارسی عنوان
محل دیافراگم تونل تاندالی در طی بازسازی یکپارچگی عضلات پشتی تک باند: مقایسه موقعیت های راهنمای تیبای
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
چکیده انگلیسی

PurposeWe aimed to compare posterior cruciate ligament (PCL) tibial tunnel location after tibial guide insertion medial (between the PCL remnant and the medial femoral condyle) and lateral (between the PCL remnant and the anterior cruciate ligament) to the PCL stump as determined by in vivo 3-dimensional computed tomography (3D-CT).MethodsTibial tunnel aperture location was analyzed by immediate postoperative in vivo CT in 66 patients who underwent single-bundle PCL reconstruction, 31 by over-the-PCL and 35 by under-the-PCL tibial guide insertion techniques. Tibial tunnel positions were measured in the medial to lateral and proximal to distal directions of the posterior proximal tibia.ResultsThe center of the tibial tunnel aperture was located more laterally (by 2.7 mm) in the over-the-PCL group than in the under-the-PCL group (P = .040) and by a relative percentage (absolute value/tibial width) of 3.2% (P = .031). Tibial tunnel positions in the proximal to distal direction, determined by absolute value and relative percentage, were similar in the 2 groups.ConclusionsTibial tunnel apertures were located more laterally after lateral-to-the-PCL tibial guide insertion than after medial-to-the-PCL tibial guide insertion. There was, however, no significant difference between these techniques in distance from the joint line to the tibial tunnel aperture. Insertion lateral to the PCL stump may result in better placement of the PCL in its anatomic footprint.Level of EvidenceLevel III, retrospective comparative study.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Arthroscopy: The Journal of Arthroscopic & Related Surgery - Volume 31, Issue 5, May 2015, Pages 874–881
نویسندگان
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