Femoral Graft Bending Angle and Femoral Tunnel Geometry of Transportal and Outside-In Techniques in Anterior Cruciate Ligament Reconstruction: An In Vivo 3-Dimensional Computed Tomography Analysis
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Kim, Jae Gyoon | - |
dc.contributor.author | Wang, Joon Ho | - |
dc.contributor.author | Lim, Hong Chul | - |
dc.contributor.author | Ahn, Jin Hwan | - |
dc.date.accessioned | 2021-09-06T14:03:48Z | - |
dc.date.available | 2021-09-06T14:03:48Z | - |
dc.date.created | 2021-06-14 | - |
dc.date.issued | 2012-11 | - |
dc.identifier.issn | 0749-8063 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/107147 | - |
dc.description.abstract | Purpose: To compare femoral graft bending angles and femoral tunnel geometries between the transportal (TP) and outside-in (OI) techniques after anatomic double-bundle (DB) anterior cruciate ligament (ACL) reconstruction. Methods: Thirty-nine patients underwent DB ACL reconstruction with the TP and OI techniques. They were randomized on the day of surgery to either the TP group (group I, 21 cases) or the OI group (group II, 18 cases). Femoral graft bending angle, femoral tunnel geometry, posterior wall breakage, and tunnel communication were assessed by computed tomography imaging with OsiriX imaging software (Pixmeo, Geneva, Switzerland). Results: The mean anteromedial (AM) and posterolateral (PL) femoral graft bending angles of group II (97.3 degrees +/- 8.3 degrees and 97.4 degrees +/- 8.6 degrees, respectively) were significantly more acute than those of group I (108.2 degrees +/- 8.4 degrees and 109.9 degrees +/- 8.8 degrees, respectively) (P < .001). The mean AM femoral tunnel length of group II (34.3 +/- 3.9 mm) was significantly longer than that of group I (31.9 +/- 2.7 mm) (P = .02). However, the mean PL femoral tunnel lengths did not differ between groups. In 7 cases-4 cases (19.0%) in group I and 3 cases (16.6%) in group II-the femoral tunnel communication was found around the intra-articular aperture. Posterior wall breakage was observed in 5 cases (23.8%), which were all in AM femoral tunnels of group I. Conclusions: The OI technique resulted in more acute femoral graft bending angles (difference of 10.9 degrees and 12.5 degrees for AM and PL, respectively) and longer mean AM femoral tunnel lengths (difference of 2.4 mm) than the TP technique after anatomic DB ACL reconstruction, even though these small differences might be unlikely to be of clinical significance. Femoral tunnel communication was found in both groups, and posterior wall breakage was observed in AM femoral tunnels with the TP technique. Level of Evidence: Level I, prospective randomized trial. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | W B SAUNDERS CO-ELSEVIER INC | - |
dc.subject | HAMSTRING TENDON GRAFTS | - |
dc.subject | KNEE FLEXION ANGLE | - |
dc.subject | ANATOMIC RECONSTRUCTION | - |
dc.subject | POSTEROLATERAL BUNDLES | - |
dc.subject | 2-INCISION TECHNIQUE | - |
dc.subject | BONE TUNNELS | - |
dc.subject | LENGTH | - |
dc.subject | POSITION | - |
dc.title | Femoral Graft Bending Angle and Femoral Tunnel Geometry of Transportal and Outside-In Techniques in Anterior Cruciate Ligament Reconstruction: An In Vivo 3-Dimensional Computed Tomography Analysis | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Kim, Jae Gyoon | - |
dc.contributor.affiliatedAuthor | Lim, Hong Chul | - |
dc.identifier.doi | 10.1016/j.arthro.2012.05.884 | - |
dc.identifier.scopusid | 2-s2.0-84868096558 | - |
dc.identifier.wosid | 000310503500018 | - |
dc.identifier.bibliographicCitation | ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, v.28, no.11, pp.1682 - 1694 | - |
dc.relation.isPartOf | ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY | - |
dc.citation.title | ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY | - |
dc.citation.volume | 28 | - |
dc.citation.number | 11 | - |
dc.citation.startPage | 1682 | - |
dc.citation.endPage | 1694 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Orthopedics | - |
dc.relation.journalResearchArea | Sport Sciences | - |
dc.relation.journalResearchArea | Surgery | - |
dc.relation.journalWebOfScienceCategory | Orthopedics | - |
dc.relation.journalWebOfScienceCategory | Sport Sciences | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
dc.subject.keywordPlus | HAMSTRING TENDON GRAFTS | - |
dc.subject.keywordPlus | KNEE FLEXION ANGLE | - |
dc.subject.keywordPlus | ANATOMIC RECONSTRUCTION | - |
dc.subject.keywordPlus | POSTEROLATERAL BUNDLES | - |
dc.subject.keywordPlus | 2-INCISION TECHNIQUE | - |
dc.subject.keywordPlus | BONE TUNNELS | - |
dc.subject.keywordPlus | LENGTH | - |
dc.subject.keywordPlus | POSITION | - |
dc.subject.keywordAuthor | HAMSTRING TENDON GRAFTS | - |
dc.subject.keywordAuthor | KNEE FLEXION ANGLE | - |
dc.subject.keywordAuthor | ANATOMIC RECONSTRUCTION | - |
dc.subject.keywordAuthor | POSTEROLATERAL BUNDLES | - |
dc.subject.keywordAuthor | 2-INCISION TECHNIQUE | - |
dc.subject.keywordAuthor | BONE TUNNELS | - |
dc.subject.keywordAuthor | LENGTH | - |
dc.subject.keywordAuthor | POSITION | - |
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.
(02841) 서울특별시 성북구 안암로 14502-3290-1114
COPYRIGHT © 2021 Korea University. All Rights Reserved.
Certain data included herein are derived from the © Web of Science of Clarivate Analytics. All rights reserved.
You may not copy or re-distribute this material in whole or in part without the prior written consent of Clarivate Analytics.