The learning curve associated with anteromedial portal drilling in ACL reconstruction

The Physician and Sportsmedicine
Tyler A LuthringerEric J Strauss

Abstract

The objective of the current study was to evaluate the accuracy and precision of femoral and tibial tunnel placement during anterior cruciate ligament reconstruction (ACLR) using independent anteromedial portal (AMP) drilling over a three-year observation period. This study was a retrospective review of 161 consecutive primary ACL reconstructions from a single surgeon over his first 36-months in practice. Femoral and tibial tunnel angulation measurements were made on anteroposterior radiographs by a single observer utilizing the assessment method described by Aglietti et al. The accuracy and precision of tunnel placement across the three-year period were assessed with comparisons made. Significantly improved accuracy was demonstrated toward the cadaveric ideal femoral tunnel angle of 33.5° over time. Improved precision of tunnel placement was also demonstrated evidenced by declining standard deviations across each year. Statistically significant improvement in femoral tunnel placement was seen between the first and second cohorts of 32 cases. No significant change was seen with respect to tibial tunnel angle across the observation period. A learning curve in developing accuracy and precision in ACL femoral tunnel placement usin...Continue Reading

References

Jan 1, 1995·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·P AgliettiP De Biase
Oct 3, 2009·The Journal of Bone and Joint Surgery. American Volume·Stephen LymanRobert G Marx
Feb 9, 2010·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Martyn Snow, William D Stanish
Jun 22, 2010·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Erik HohmannKevin Tetsworth
May 13, 2011·The Journal of Bone and Joint Surgery. American Volume·Sujith KonanFares S Haddad
Jul 12, 2012·International Orthopaedics·Ofir ChechikAviram Gold
Apr 17, 2013·Musculoskeletal Surgery·R CastriciniP Pirani
Apr 18, 2013·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Peter N ChalmersBernard R Bach
Apr 27, 2013·The American Journal of Sports Medicine·Brian R WolfUNKNOWN MOON Knee Group
Jul 24, 2013·Surgical Endoscopy·Eric M HaasChirag B Patel
Dec 3, 2013·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Rachel M FrankNikhil N Verma

❮ Previous
Next ❯

Citations

Jun 21, 2017·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Luigi SirleoFabrizio Matassi
Mar 2, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Man Soo KimYong In

❮ Previous
Next ❯

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.

Related Papers

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
Cecilia Pascual-GarridoKyle E Swanson
Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
Volker MusahlSavio L-Y Woo
Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
Thomas C KellerMark D Miller
Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
S Raymond GolishMark D Miller
© 2022 Meta ULC. All rights reserved