scholarly journals Assessment of foot print of femoral tunnel placement with commercially available off set guide in arthroscopic ACL reconstruction

2016 ◽  
Vol 3 (1) ◽  
pp. 43
Author(s):  
Vinay Tantuway ◽  
S. A. Mustafa Johar ◽  
Viral Patel ◽  
Ashok Nagla ◽  
Rishi Gupta ◽  
...  
Keyword(s):  
Functional Outcome ◽  
Acl Reconstruction ◽  
Femoral Tunnel ◽  
Clinical Success ◽  
Cruciate Ligament ◽  
Acl Injury ◽  
Tunnel Placement ◽  
Anatomic Acl Reconstruction ◽  
The Mean ◽  
Femoral Tunnel Placement

<p class="abstract"><strong>Background:</strong> <span>Accurate placement of the femoral tunnel is critical for long-term clinical success following anterior cruciate ligament (ACL) reconstruction.</span> <span> Current trends in ACL reconstruction favor anatomic positioning of ACL attachment sites. Surgical inaccuracy in femoral tunnel positioning can lead to potential early graft failure and early-onset osteoarthritis. The purpose of this study was to evaluate</span> the functional outcome in patients who underwent arthroscopic anatomic ACL reconstruction using hamstring tendon graft<span lang="EN-IN">.</span></p><p class="abstract"><strong>Methods:</strong> The<strong> </strong>study was conducted in the Orthopedics Department of IIMCHRC, Indore the placement of femoral tunnel, using femoral off set guide with other techniques. All the patients who were diagnosed clinically and radiologically with ACL tear and all who gave the consent were included in the study. All patients were enrolled to undergo primary arthroscopically assisted ACL reconstruction.<strong></strong></p><p class="abstract"><strong>Results:</strong> In the present study out of 42 patients; 23 patients (55%) had right sided ACL injury and remaining 19 patients (45%) had left sided ACL injury. We assessed functional outcome of the patients through pre-operative and post-operative IKDC scoring. The mean of the pre-op IKDC scoring was 33.61 with SD of 9.67 and the mean of the post-operative IKDC scoring was 77.95 with SD of 15.15<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> The commercially available off set guide technique of the femoral tunnel placement in arthroscopic ACL reconstruction is easy, reliable and reproducible with the foot print at anatomical place on the femoral site<span lang="EN-IN">.</span></p>

scholarly journals Functional outcome following arthroscopic ACL reconstruction using semitendinosus graft: a prospective observational study

2017 ◽  
Vol 3 (3) ◽  
pp. 423 ◽  
Author(s):  
Prasad Veeragandham ◽  
Vijay Raghavan ◽  
Abhishek Chattopadhyay ◽  
Upal Banerjee ◽  
Sanjay Kothari
Keyword(s):  
Observational Study ◽  
Functional Outcome ◽  
Acl Reconstruction ◽  
Cruciate Ligament ◽  
Tertiary Care ◽  
Acl Injury ◽  
Anatomic Acl Reconstruction ◽  
Acl Injuries ◽  
The Mean ◽  
Semitendinosus Graft

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Anterior cruciate ligament (ACL) injuries remain a common orthopaedic disease, particularly in young adults. The treatment of choice for ACL injuries is ACL reconstruction (ligamentoplasty). </span><span lang="EN-IN">The present study was conducted to observe and evaluate the outcome results of arthroscopic ACL reconstruction by hamstring grafts using Endobutton-CL technique for femoral fixation and Bioabsorbable Intrafix Screw technique for tibial fixation in ACL injury.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">This prospective comparative observational study related data were captured between January 2014 to December 2015 in a tertiary care teaching hospital, Haldia. About 36 patients with arthroscopic anatomic ACL reconstruction using hamstring tendon graft were evaluated and followed up for functional outcome. Patients were evaluated for pain, functioning and stability of knee using validated knee scoring systems which included tegner activity scale and IKDC score</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> Out of 36 patients 31 patients (86.11%) were male and 5 patients (13.88%) were females. About 25 patients (69.44%) had right sided ACL injury and remaining 11 patients (30.55%) had left sided ACL injury. The mean of the pre-op IKDC scoring was 42.45 with SD of 9.68 and the mean of the post-operative IKDC scoring was 81.87 with SD of 13.40, so improvement was statistically significant<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">The technique of arthroscopic ACL reconstruction offers an excellent knee function, knee stability and restoration of preoperative functional status with minimal complications.</span></p>

scholarly journals Assessing the accuracy of femoral tunnel placement in anatomic ACL reconstruction (913.13)

2014 ◽  
Vol 28 (S1) ◽  
Author(s):  
Melissa Ducsharm ◽  
Daniel Banaszek ◽  
Daniel Hesse ◽  
Manuela Kunz ◽  
Conrad Reifel ◽  
...  
Keyword(s):  
Acl Reconstruction ◽  
Femoral Tunnel ◽  
Tunnel Placement ◽  
Anatomic Acl Reconstruction ◽  
Femoral Tunnel Placement

scholarly journals Comparing Transtibial and Anteromedial Drilling Techniques for Single-bundle Anterior Cruciate Ligament Reconstruction

2016 ◽  
Vol 10 (1) ◽  
pp. 481-489 ◽  
Author(s):  
Erhan Sukur ◽  
, Yunus Emre Akman ◽  
, Ahmet Senel ◽  
, Ethem Ayhan Unkar ◽  
, Huseyin Nevzat Topcu ◽  
...  
Keyword(s):  
Anterior Cruciate Ligament ◽  
Acl Reconstruction ◽  
Femoral Tunnel ◽  
Cruciate Ligament ◽  
Single Bundle ◽  
Functional Evaluation ◽  
Tunnel Placement ◽  
Normal Life ◽  
Anterior Cruciate ◽  
Femoral Tunnel Placement

Background: Among the many factors that determine the outcome following anterior cruciate ligament (ACL) reconstruction, the position of the femoral tunnel is known to be critically important and is still the subject of extensive research. Objective: We aimed to retrospectively compare the outcomes of arthroscopic ACL reconstruction using transtibial (TT) or anteromedial (AMP) drilling techniques for femoral tunnel placement. Methods: ACL reconstruction was performed using the TT technique in 49 patients and the AMP technique in 56 patients. Lachman and pivot-shift tests, the Lysholm Knee Scale, International Knee Documentation Committee (IKDC) score, Tegner activity scale and visual analog scale (VAS) were used for the clinical and functional evaluation of patients. Time to return to normal life and time to jogging were assessed in addition to the radiological evaluation of femoral tunnel placement. Results: In terms of the Lysholm, IKDC, Tegner score, and stability tests, no significant differences were found between the two groups (p > 0.05). Statistical analysis revealed reduced time to return to normal life and jogging in the AMP group (p < 0.05). The VAS score was also significantly reduced in the AMP group (p < 0.05). The position of the femoral tunnel was anatomically appropriate in 51 patients in the AMP group and 5 patients in the TT group. Conclusion: The AMP technique is superior to the TT technique in creating anatomical femoral tunnel placement during single-bundle ACL reconstruction and provides faster recovery in terms of return to normal life and jogging at short-term follow-up.

scholarly journals J arch: A contemporary soft-tissue landmark for anatomic placement of femoral tunnel in remnant-preserving anterior cruciate ligament (ACL) reconstruction

2022 ◽  
Vol 0 ◽  
pp. 1-6
Author(s):  
Vatsal Khetan ◽  
Shyam Thakkar ◽  
Sajeer Usman ◽  
Bhushan Sabnis ◽  
Anant Joshi
Keyword(s):  
Soft Tissue ◽  
Acl Reconstruction ◽  
Femoral Tunnel ◽  
Cruciate Ligament ◽  
Tunnel Placement ◽  
Blumensaat’S Line ◽  
Bony Landmarks ◽  
Femoral Tunnel Position ◽  
Anterior Cruciate ◽  
Femoral Tunnel Placement

Objectives: Femoral tunnel placement is a critical step in ACL reconstruction surgery. Surgeons usually end up clearing the soft tissue to access the bony landmarks. Biological ACL reconstruction with preservation of soft tissue can be done with reliable soft tissue landmarks. Our objective is to assess the reliability of a soft tissue landmark- femoral ACL remnant, for appropriate femoral tunnel placement in soft tissue preserving ACL reconstruction. Materials and Methods: This study was a retrospective analysis of prospectively collected data of 40 consecutive patients who underwent primary ACL reconstruction in January 2018 by a single surgeon. An inverse J shaped tissue arch was identified and used as soft tissue landmark for anatomic placement of femoral tunnel. This arch was a part of femoral ACL remnant. MRI films were examined post-operatively to determine the position of the femoral tunnel. Postoperatively, MRI of these patients were reviewed to evaluate the femoral tunnel position in terms of depth and height from the proximal condylar surface and notch roof, respectively. Results: The center of the femoral tunnel was found to be at a mean depth of 27.12 ± 2.2% from the proximal condylar surface (parallel to Blumensaat’s line) and a mean height of 30.96 ± 2.75% from the notch roof (perpendicular to Blumensaat’s line), which is at par with previously defined data given by various studies. Conclusion: J arch can be used as a dependable soft tissue landmark and a guide for the anatomic placement of femoral tunnel in biological ACL Reconstruction.

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