Evaluation of a behind-remnant approach for femoral tunnel creation in remnant-preserving double-bundle anterior cruciate ligament reconstruction - Comparison with a standard approach

The Knee
Hideyuki KogaIchiro Sekiya

Abstract

To evaluate a novel approach for femoral tunnel creation, a behind-remnant approach, in remnant-preserving double-bundle anterior cruciate ligament (ACL) reconstruction through comparison with a standard approach. Sixty patients who underwent remnant-preserving double-bundle ACL reconstruction were included. Thirty patients with a standard approach were classified as the standard group, and 30 patients with a behind-remnant approach as the behind-remnant (BR) group. The anteromedial bundle (AMB) and posterolateral bundle (PLB) were provisionally fixed at 20° and 45° of flexion to a graft tensioning system during surgery. Bundle tension was recorded during knee flexion-extension and in response to anterior or rotatory loads. Femoral tunnel positions were then assessed using the quadrant method. During flexion-extension, the BR group showed equivalent tension curves between AMB and PLB, while the standard group showed reciprocal tension curves. The tension on the PLB was lower than the AMB in response to anterior or rotatory loads in the BR group, while the AMB and PLB shared equivalent loads in the standard group. Tunnel position of the AMB in the BR group was lower and deeper, with smaller variances, than that in the standard g...Continue Reading

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Citations

Oct 31, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Hitomi FujishiroKeiichi Akita
Feb 6, 2017·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·John NylandDavid N M Caborn
Aug 20, 2017·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Shinya YanagisawaHirotaka Chikuda

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