Transtibial versus anteromedial portal of the femoral tunnel in ACL reconstruction: a cadaveric study
Φόρτωση...
Ημερομηνία
Συγγραφείς
Gavriilidis, I.
Motsis, E. K.
Pakos, E. E.
Georgoulis, A. D.
Mitsionis, G.
Xenakis, T. A.
Τίτλος Εφημερίδας
Περιοδικό ISSN
Τίτλος τόμου
Εκδότης
Περίληψη
Τύπος
Είδος δημοσίευσης σε συνέδριο
Είδος περιοδικού
peer-reviewed
Είδος εκπαιδευτικού υλικού
Όνομα συνεδρίου
Όνομα περιοδικού
Knee
Όνομα βιβλίου
Σειρά βιβλίου
Έκδοση βιβλίου
Συμπληρωματικός/δευτερεύων τίτλος
Περιγραφή
The aim of this cadaveric study was to compare the transtibial versus the anteromedial portal with respect to the anatomic femoral positioning of the ACL attachment. Ten fresh frozen cadaveric knees were included in our study. A standard arthroscopy was performed and the normal ACL was partially cut through with arthroscopic scissors leaving a small footprint of 2 mm at the anatomical insertion area on the lateral femoral condyle. The femoral tunnel was drilled through the tibial tunnel and subsequently through the anteromedial portal. Using a probe with standard magnification, we measured the distances of the two femoral tunnels from the margin of ACL footprint arthroscopically. The femurs were then dissected and we measured the distances of the two tunnels from the posterior part of the lateral femoral condyle. The median arthroscopically measured distance of the centers of transtibial femoral tunnel and of the femoral tunnel through the anteromedial portal from the margin of the femoral ACL footprint were 6.20 mm and 2.80 mm respectively. The difference was statistically significant. After femoral dissection the median distance of the centers of the transtibial femoral tunnel and the femoral tunnel performed through the anteromedial portal from the border of the articular surface at the lateral femoral condyle was 6.10 mm and 5.25 mm respectively (p<0.001). Both measurements showed that ACL reconstruction technique through the anteromedial portal is more accurate compared to the transtibial technique.
Περιγραφή
Λέξεις-κλειδιά
Anterior Cruciate Ligament/anatomy & histology/*surgery, Cadaver, Femur/*anatomy & histology/surgery, Humans, Knee Joint/*anatomy & histology/surgery, Orthopedic Procedures/*methods, Reconstructive Surgical Procedures/*methods, Tibia/*anatomy & histology/surgery
Θεματική κατηγορία
Παραπομπή
Σύνδεσμος
http://www.ncbi.nlm.nih.gov/pubmed/18583137
http://ac.els-cdn.com/S0968016008000859/1-s2.0-S0968016008000859-main.pdf?_tid=d3c7e481b606c337b66da7c2986d06b7&acdnat=1333381804_1245e605b9e5c79bc55838be92393a4e
http://ac.els-cdn.com/S0968016008000859/1-s2.0-S0968016008000859-main.pdf?_tid=d3c7e481b606c337b66da7c2986d06b7&acdnat=1333381804_1245e605b9e5c79bc55838be92393a4e
Γλώσσα
en
Εκδίδον τμήμα/τομέας
Όνομα επιβλέποντος
Εξεταστική επιτροπή
Γενική Περιγραφή / Σχόλια
Ίδρυμα και Σχολή/Τμήμα του υποβάλλοντος
Πανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικής