Arthroscopic anterior cruciate ligament reconstruction with the tibial-remnant preserving technique using a hamstring graft

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
Byung-Ill LeeSeong-Tae Kim

Abstract

We propose that the tibial remnant of the anterior cruciate ligament (ACL) is able to enhance the revascularization and cellular proliferation of the graft, to preserve proprioceptive function, and to be able to acquire anatomic placement of the graft without roof impingement. Therefore, it seems reasonable to assume that preserving the tibial remnant as much as possible as a source of reinnervation, if technically possible without causing impingement, would be of potential benefit to the patient. Our surgical technique was developed to maximize the preservation of the tibial remnant. The distally attached semitendinosus and gracilis tendons are harvested using the tendon stripper. After satisfactory placement of 2 guide pins convergently, a closed-end socket in the lateral femoral condyle is created using an adequately sized curved curette. For anatomic placement of the graft, the tibial tunnel should be positioned within the boundaries of the normal ACL tibial remnant. The reamer must be advanced very carefully to minimize injury to the residual remnant at the intra-articular margin of the tibial tunnel. Penetration should stop at the base of the stump. The folded grafts are then pulled intra-articularly through the tibial tu...Continue Reading

References

Nov 1, 1992·The American Journal of Sports Medicine·H H PaesslerL E Dahners
May 1, 1991·The American Journal of Sports Medicine·M F ShermanI Reiter
Feb 1, 1986·The Anatomical Record·M L ZimnyE Dabezies
Nov 1, 1982·The American Journal of Sports Medicine·J C KennedyK C Hayes
Jan 1, 1994·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·R Letsch
Jan 1, 1995·Archives of Orthopaedic and Trauma Surgery·R KrauspeD Drenckhahn
May 1, 1994·The American Journal of Sports Medicine·D Kohn, C Rose
Jan 1, 1993·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·M HulstynW R Walsh
Jan 1, 1996·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·E E SpencerS D Rohatgi
Jan 1, 1997·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·T G GerichH P Lobenhoffer
May 7, 1999·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·R BeckerW Nebelung

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Citations

Jun 18, 2009·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Byung Ill LeeJae Ho Yoo
Feb 27, 2008·Archives of Orthopaedic and Trauma Surgery·Jin Hwan AhnHae Chan Ha
Apr 29, 2014·BMC Musculoskeletal Disorders·Joseph M HartDavid Diduch
Dec 18, 2012·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Qiang ZhangRui Li
Jul 31, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Seong Hwan KimHawa-Tahir Siti
Jun 17, 2014·Biological Trace Element Research·Yasushi ShinoharaYoshiyuki Tohno
Jan 30, 2016·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Lin GuoDe-Jie Fu
Oct 1, 2015·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Feng GaoGuoping Li
May 30, 2013·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Guan-Yang SongHua Feng
Sep 18, 2012·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Soo Yeon ParkKyoung Ho Yoon
May 23, 2012·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Lei SunMin Tian
Dec 14, 2011·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Kazunori YasudaYoshie Tanabe
Aug 16, 2011·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Young-Bok JungHye-Young Cheon
Jun 28, 2011·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Jin Hwan AhnKyoung Hwan Koh
Sep 10, 2010·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Carola F van EckFreddie H Fu
Nov 10, 2009·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Kyoung Ho YoonJung Hwan Lee
Mar 8, 2008·Orthopedics·David M Junkin, Darren L Johnson
Jan 12, 2008·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Christopher D HarnerAnil S Ranawat
Nov 14, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Jung Ho NohTae Seok Kang
Apr 30, 2008·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Byung-Ill LeeKyung-Dae Min
Jun 5, 2012·Clinics in Orthopedic Surgery·Young-Bok Jung
Jan 28, 2012·The Journal of Orthopaedic and Sports Physical Therapy·Dharmesh VyasChristopher D Harner
Jan 20, 2012·British Medical Bulletin·Rocco PapaliaVincenzo Denaro
May 10, 2016·The American Journal of Sports Medicine·Robert H BrophyMuhammad Farooq Rai
Mar 23, 2018·The American Journal of Sports Medicine·João Victor NovarettiMoises Cohen
Sep 27, 2016·Medical Science Monitor : International Medical Journal of Experimental and Clinical Research·Lei ZhangJingping Bai

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