Dataset Information

Arthroscopic Anatomic Single-Bundle Anterior Cruciate Ligament Reconstruction Using Bone-Patellar Tendon-Bone Autograft: Pearls for an Accurate Reconstruction.

ABSTRACT: An anterior cruciate ligament (ACL) tear is one of the most common orthopaedic injuries. Optimal results are not always achieved after surgical reconstruction after a surgical technical error, namely, tunnel malposition. Understanding of the anatomy is vital, and several anatomic landmarks can be used to aid in an optimal reconstruction technique. The purpose of this Technical Note is to describe our preferred technique for an arthroscopic single-bundle anteromedial ACL reconstruction, using a bone-patellar tendon-bone autograft fixed with interference screws.

SUBMITTER: Chahla J

PROVIDER: S-EPMC5621867 | biostudies-other | 2017 Aug

REPOSITORIES: biostudies-other

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Publications

Arthroscopic Anatomic Single-Bundle Anterior Cruciate Ligament Reconstruction Using Bone-Patellar Tendon-Bone Autograft: Pearls for an Accurate Reconstruction.

Chahla Jorge J Moatshe Gilbert G Cinque Mark E ME Godin Jonathan J Mannava Sandeep S LaPrade Robert F RF

Arthroscopy techniques 20170731 4

An anterior cruciate ligament (ACL) tear is one of the most common orthopaedic injuries. Optimal results are not always achieved after surgical reconstruction after a surgical technical error, namely, tunnel malposition. Understanding of the anatomy is vital, and several anatomic landmarks can be used to aid in an optimal reconstruction technique. The purpose of this Technical Note is to describe our preferred technique for an arthroscopic single-bundle anteromedial ACL reconstruction, using a b ...[more]

PMID: 29354412

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Project description:PurposeTo assess the clinical outcomes comparing rectangular bone-tendon-bone (BTB) grafts and double-bundle hamstring tendon (HM) grafts used for anatomic anterior cruciate ligament (ACL) reconstruction in young female athletes.MethodsFrom January 2014 to November 2017, young female athletes 20 years or younger who underwent primary ACL reconstructions by a single surgeon were identified. Patients with concomitant injuries, not being a regular sports participant, the existence of contralateral ACL reconstruction, and who did not have a minimum of 1-year follow-up were excluded. We searched the rate and time for return-to-play, clinical outcomes including chronological instrumental side-to-side tibial translation difference, and muscle strength. Second ACL injury rates between the 2 groups during follow-up period were evaluated.ResultsTwenty-seven BTB ACL reconstructions and 29 HM ACL reconstructions were performed. The mean follow-up periods were 35.2 months in the BTB group and 33.8 months in the HM group. The BTB group showed better knee stability in mean side-to-side translational difference via arthrometric testing of 0.6 mm in the BTB versus 1.7 mm in the HM group at 5 months (P = .01) and 1.1 mm and 2.0 mm at 12 months, respectively (P = .02). There was no significant side-by-side difference in quadriceps muscle strength ratio, but the hamstring muscle strength was significantly better in the BTB group. The graft reinjury rate in the BTB group and the HM group was 0% (0/27) and 10.3% (3/29) (P = .09), respectively. In contrast, contralateral ACL injuries occurred in 17.3% (4/27) of the BTB group and 3.5% (1/29) of the HM group (P = .12).ConclusionsFor young female athletes aged 20 years or younger, the BTB group had better knee instrumental stability than the HM group without range of motion loss or knee extensor muscle strength deficit. Although there was no statistical significance in terms of second ACL injury, we observed fewer graft rerupture and an increasing rate of contralateral ACL injuries in the BTB group.Level of evidenceLevel III, retrospective comparative study.

Dataset Information

Arthroscopic Anatomic Single-Bundle Anterior Cruciate Ligament Reconstruction Using Bone-Patellar Tendon-Bone Autograft: Pearls for an Accurate Reconstruction.

Publications

Arthroscopic Anatomic Single-Bundle Anterior Cruciate Ligament Reconstruction Using Bone-Patellar Tendon-Bone Autograft: Pearls for an Accurate Reconstruction.

Similar Datasets

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