Placement of Double Tunnels in ACL Reconstruction Using Bony Landmarks Versus Existing Footprint Remnant: A Prospective Clinical Study With 2-Year Follow-up

The American Journal of Sports Medicine
Wei LuHao Li

Abstract

The outcomes of double-bundle anterior cruciate ligament reconstruction (DB-ACLR) are becoming controversial. One of the main reasons for the controversy is the techniques for bone tunnel placement. The common technique to place the bone tunnels is to use bony landmarks, while a new approach uses footprint remnants. To investigate if placement of double tunnels using bony landmarks produces the same clinical results as that of using existing footprint remnants. Randomized controlled trial; Level of evidence, 2. A total of 72 male patients were randomly divided into 2 groups of 36 patients each: (A) DB-ACLR tunnel placement using the footprint remnant procedure (EF group) and (B) DB-ACLR tunnel placement using the bony landmark procedure (BL group). All patients were evaluated before and after surgery. Outcomes were measured by KT-2000 arthrometer side-to-side difference, pivot-shift test, and Tegner, Lysholm, and International Knee Documentation Committee (IKDC) scores. Second-look arthroscopic evaluations were performed in 59 cases (28 and 31 cases in the EF and BL groups, respectively). The mean follow-up time was 36.9±4.8 months. Postoperative 3-dimensional computed tomography scans showed that bone sockets were variable on ...Continue Reading

References

Jan 15, 2005·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Evan H CrainWilliam F Luetzow
Nov 1, 2006·Clinical Orthopaedics and Related Research·Wolf Petersen, Thore Zantop
Jan 12, 2007·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Timo Järvelä
Mar 14, 2007·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Mario FerrettiFreddie H Fu
Nov 8, 2007·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Eiji Kondo, Kazunori Yasuda
Feb 2, 2008·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Rainer SieboldJuergen Metz
Jan 14, 2009·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Sebastian KopfFreddie H Fu
Feb 2, 2010·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Jung Hwan LeeKyoung Ho Yoon
Dec 4, 2010·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Takanori IriuchishimaFreddie H Fu
Feb 12, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Paulo H AraujoFreddie H Fu
Jun 1, 2011·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Pablo Eduardo GelberJuan Carlos Monllau
Oct 1, 2011·Skeletal Radiology·Tommi KiekaraAntti Paakkala
Dec 7, 2011·Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology : SMARTT·Mitsuo OchiMasataka Deie
Feb 1, 2012·Scandinavian Journal of Medicine & Science in Sports·J KongtharvonskulA Thakkinstian
Mar 1, 2012·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Carola F van EckRudolf W Poolman
Nov 28, 2012·Clinics in Sports Medicine·Timo Järvelä, Sally Järvelä
Jan 23, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Yan XuGuo-qing Cui
Jun 15, 2013·Arthroscopy Techniques·Stephen J RabuckFreddie H Fu
Jul 31, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Seong Hwan KimHawa-Tahir Siti
Sep 21, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Yong Seuk LeeBeom Koo Lee
Mar 8, 2014·The American Journal of Sports Medicine·Sachiyuki TsukadaKeiichi Akita
Apr 8, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Sven ShafizadehMarc Banerjee
May 21, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Rainer SieboldJoachim Kirsch

❮ Previous
Next ❯

Citations

Oct 27, 2017·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Frantzeska ZampeliAnastasios D Georgoulis
May 24, 2017·Journal of Experimental Orthopaedics·Sebastián IrarrázavalJoan C Monllau
Jan 4, 2021·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Hui HuangMuneaki Ishijima

❮ Previous
Next ❯

Software Mentioned

SPSS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.