کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4081237 1267584 2015 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Revision single-bundle anterior cruciate ligament reconstruction with over-the-top route procedure
ترجمه فارسی عنوان
بازنگری مجدد رباط صلیبی قدامی رکتال مجدد با روش مسیر بیش از حد بالا
کلمات کلیدی
تجدید بازسازی رباط صلیبی قدامی فرآیند بیش از حد بالا، تک بسته پایداری زانو
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
چکیده انگلیسی

PurposeIn revision anterior cruciate ligament reconstruction (ACLR), the single-stage technique and the over-the-top route (OTTR) procedure were usually selected for cases where the bone tunnel cannot be created at an anatomical position due to tunnel enlargement and overlap with the mal-positioned tunnel of primary reconstruction. The purpose of this study was to evaluate the clinical results of revision single-bundle ACL reconstruction using OTTR procedure and to compare the clinical results of OTTR procedure with those of anatomical single-bundle revision reconstruction (SBR).HypothesisThe results of OTTR procedure are equivalent to that of SBR.MethodsSeventy-six revision ACL reconstruction knees from April 2002 to December 2012 were involved in our study. We focused on 21 knees which underwent surgery with SBR and 22 knees with OTTR using hamstring tendon. The clinical results were evaluated by means of the Lysholm score and the knee stability was assessed by the Lachman test, pivot-shift test and side-to-side difference by KT-2000 pre-operatively and after 1 year post-operatively. AP translation and rotational laxity using a navigation system were evaluated before and after revision ACL reconstruction under anesthesia in 8 cases of OTTR and in 6 cases of SBR.ResultsThere was no statistically significant difference between the OTTR and SBR regarding Lysholm score, Lachman test, pivot-shift test, ATT by KT-2000, and AP translation and rotational laxity with a navigation system.ConclusionsThe clinical results of OTTR are almost equivalent to those of SBR. For the cases in which it is impossible to create the femoral tunnel in an anatomical position, OTTR is a valuable revision ACL reconstruction method.Level of evidenceCase-control study. Level III.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Orthopaedics & Traumatology: Surgery & Research - Volume 101, Issue 1, February 2015, Pages 71–75
نویسندگان
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