کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
9356810 1267374 2005 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Single-bundle anterior cruciate ligament reconstruction using the medial portal technique
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
پیش نمایش صفحه اول مقاله
Single-bundle anterior cruciate ligament reconstruction using the medial portal technique
چکیده انگلیسی
Complete anterior cruciate ligament (ACL) ruptures can lead to recurrent knee instability, meniscal tears, and articular cartilage degeneration. ACL reconstruction typically has been performed using a single-bundle reconstruction technique that attempts to recreate the normal biomechanical properties of the native ACL. A critical review of the literature reveals that the success rates of single-bundle ACL reconstruction vary between 69% and 95%. The variability of the results may be attributed to the different techniques and styles of the individual surgeon, as there is variability in operative technique, fixation method, graft choice, and rehabilitation protocol. Our technique uses the medial portal technique and intraoperative radiographic analysis to more accurately recreate the anatomic insertion sites of the ACL femoral and tibial tunnels, respectively. Advantages of using the medial portal technique include the following: (1) femoral tunnel and tibial tunnels are placed independently of each other; (2) femoral tunnel is placed more anatomically on the ACL femoral insertion; (3) allows for easy preservation of any remaining ACL fibers (augmentation); and (4) tunnel placement is independent of graft type, fixation devices, or tunnel guides. We present our current technique for anatomic arthroscopic ACL reconstruction using a single-bundle graft.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Operative Techniques in Orthopaedics - Volume 15, Issue 2, April 2005, Pages 89-95
نویسندگان
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