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Dergiler / Acta Orthopaedica et Traumatologica Turcica / 2015 / Cilt: 49 - Sayı: 5

Does the anteromedial portal provide clinical superiority compared to the transtibial portal in anterior cruciate ligament reconstruction in nonprofessional athletes in short-term follow-up?

Zeki TAŞDEMİR
Deniz GULABİ
Fevzi SAĞLAM
Safiye TOKGÖZ ÖZAL
Nurzat ELMALI
Sayfa
483–491
DOI
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

No statistically significant difference was observed between the 2 groups in terms of Lachman test, pivot-shift test, Lysholm score, IKDC score, and modified Cincinnati score results.Conclusion: The AM technique has no clinical superiority compared to the TT technique in ACL reconstruction in nonprofessional athletes

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Objective: Two drilling techniques of the femoral tunnel are commonly used in anterior cruciate ligament (ACL) reconstruction: through the transtibial (TT) portal or through the anteromedial (AM) portal.
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Temel Bulgular & Veri:The aim of the present study is to investigate the radiological and clinical outcomes of arthroscopic single-bundle ACL reconstruction using AM and TT portal techniques for drilling the femoral tunnel in nonprofessional athletes.Methods: A retrospective review was made of 44 nonprofessional athletes undergoing ACL reconstruction using AM and TT techniques between 2011-2013.
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Sonuç & Katkı:No statistically significant difference was observed between the 2 groups in terms of Lachman test, pivot-shift test, Lysholm score, IKDC score, and modified Cincinnati score results.Conclusion: The AM technique has no clinical superiority compared to the TT technique in ACL reconstruction in nonprofessional athletes
🔬Tür:Literatür & Derleme Çalışması
📍Kapsam:2011-2013 Verileri
⚙️Değişkenler:Alan Parametreleri

Abstract

Objective: Two drilling techniques of the femoral tunnel are commonly used in anterior cruciate ligament (ACL) reconstruction: through the transtibial (TT) portal or through the anteromedial (AM) portal. The aim of the present study is to investigate the radiological and clinical outcomes of arthroscopic single-bundle ACL reconstruction using AM and TT portal techniques for drilling the femoral tunnel in nonprofessional athletes.Methods: A retrospective review was made of 44 nonprofessional athletes undergoing ACL reconstruction using AM and TT techniques between 2011-2013. The femoral tunnel clock position on axial magnetic resonance imaging (MRI) and the anterior-posterior position of the tibial tunnel on sagittal-cut MRI scan were measured. Radiological femoral tunnel and tibial tunnel anterior-posterior inclination angles were assessed. At final follow-up, the Lachman test and pivot-shift test were used in the evaluation of the anterior-posterior stability of the knee and the rotational stability of the knee. For clinical and functional evaluation, the modified Cincinnati knee grading system, Lysholm knee scoring scale, and International Knee Documentation Committee (IKDC) form were used.Results: No statistically significant difference was determined between the groups in terms of patient age, follow-up period, gender, and affected side distribution. There were 6 outliers in the TT group due to the clock face position. The mean femoral tunnel inclination angle was 31.07°±8.44° in the AM group and 19.02°±8.93° in the TT group. The tibial tunnel inclination angle was 21.08°±5.42° in the TT group and 16.58°±7.02° in the AM group. A statistically significant difference was determined between the 2 groups. No statistically significant difference was observed between the 2 groups in terms of Lachman test, pivot-shift test, Lysholm score, IKDC score, and modified Cincinnati score results.Conclusion: The AM technique has no clinical superiority compared to the TT technique in ACL reconstruction in nonprofessional athletes

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Bu Makaleye Atıf Yap

TAŞDEMİR, Z., GULABİ, D., SAĞLAM, F., ÖZAL, S. T., ELMALI, N. (2015). Does the anteromedial portal provide clinical superiority compared to the transtibial portal in anterior cruciate ligament reconstruction in nonprofessional athletes in short-term follow-up?. Acta Orthopaedica et Traumatologica Turcica, Cilt: 49 - Sayı: 5, 483–491. https://ajindex.com/articles/353567

Kaynakça (9)

  1. Kopf S, Forsythe B, Wong AK, Tashman S, Anderst W, Irrgang JJ, et al. Nonanatomic tunnel position in tradi- tional transtibial single-bundle anterior cruciate ligament reconstruction evaluated by three-dimensional computed tomography. J Bone Joint Surg Am 2010;92:1427-31.
  2. Lee JK, Lee S, Seong SC, Lee MC. Anatomic single- bundle ACL reconstruction is possible with use of the modified transtibial technique: a comparison with the an- teromedial transportal technique. J Bone Joint Surg Am 2014;96:664-72.
  3. Loh JC, Fukuda Y, Tsuda E, Steadman RJ, Fu FH, Woo SL. Knee stability and graft function following anterior cruciate ligament reconstruction: Comparison between 11 o'clock and 10 o'clock femoral tunnel placement. 2002 Richard O'Connor Award paper. Arthroscopy 2003;19:297-304.
  4. Scopp JM, Jasper LE, Belkoff SM, Moorman CT 3rd. The effect of oblique femoral tunnel placement on rotational constraint of the knee reconstructed using patellar tendon autografts. Arthroscopy 2004;20:294-9.
  5. Shafizadeh S, Balke M, Kelz S, Hoeher J, Banerjee M. Low inter- and intraobserver variability allows for reliable tun- nel measurement in ACL reconstruction using the quad- rant method. Arch Orthop Trauma Surg 2014;134:529- 36. Dargel J, Schmidt-Wiethoff R, Fischer S, Mader K, Koe- bke J, Schneider T. Femoral bone tunnel placement using the transtibial tunnel or the anteromedial portal in ACL reconstruction: a radiographic evaluation. Knee Surg Sports Traumatol Arthrosc 2009;17:220-7.
  6. Strauss EJ, Barker JU, McGill K, Cole BJ, Bach BR Jr, Verma NN. Can anatomic femoral tunnel placement be achieved using a transtibial technique for hamstring ante- rior cruciate ligament reconstruction? Am J Sports Med 2011;39:1263-9. Bottoni CR. Anterior cruciate ligament femoral tun- nel creation by use of anteromedial portal. Arthroscopy 2008;24:1319. Harner CD, Honkamp NJ, Ranawat AS. Anteromedial portal technique for creating the anterior cruciate ligament femoral tunnel. Arthroscopy 2008;24:113-5.
  7. Azboy I, Demirtaş A, Gem M, Kıran S, Alemdar C, Bulut M. A comparison of the anteromedial and transtibial drill- ing technique in ACL reconstruction after a short-term follow-up. Arch Orthop Trauma Surg 2014;134:963-9.
  8. Bedi A, Musahl V, Steuber V, Kendoff D, Choi D, Allen AA, et al. Transtibial versus anteromedial portal reaming in anterior cruciate ligament reconstruction: an anatomic and biomechanical evaluation of surgical technique. Ar- throscopy 2011;27:380-90.
  9. Piasecki DP, Bach BR Jr, Espinoza Orias