e-journal

Graft quality and clinical outcomes of intraoperative bone tunnel communication in anatomic double-bundle anterior cruciate ligament reconstruction

---

Background/objective: In anatomic double-bundle anterior cruciate ligament reconstruction, it is crucial to create two separate bone tunnels within the footprints of the anterior cruciate ligament at the femur and tibia. This can occasionally be difficult to accomplish and the adverse effects of bone tunnel communication are unclear. The purpose of this study was to examine the effects of intraoperative bone tunnel communication on graft quality and clinical outcome.
Methods: Fifty-two patients (52 knees) who underwent anatomic double-bundle anterior cruciate ligament reconstruction with hamstring tendons were included. The mean age of the patients was 30.7 years. Clinical assessments were performed 1 year after surgery. Bone tunnel communication was evaluated using computed tomography 10 days after surgery. Graft quality was evaluated using magnetic resonance imaging 6 months after surgery and the signal/noise quotient was calculated using the region of interest technique.
Results: Bone tunnel communication was observed in the femur of one knee (1.9%) and the tibias of 10 knees (30.8%). The knees with tibial bone communication were classified into Group C (N ¼ 16), and the knees without tibial bone tunnel communication were classified into Group N (N ¼ 36). No significant differences were observed between Groups C and N in terms of clinical outcome. The signal/noise quotient of the distal portion of the posterolateral graft in Group C was significantly higher than that of Group N.
Conclusion: Bone tunnel communication in anatomic double-bundle anterior cruciate ligament reconstruction did not affect clinical outcome,but it did affect posterolateral graft quality.
Level of evidence: Level 4, case series, therapeutic studies.

Keywords: bone tunnel communication; clinical outcome; double-bundle anterior cruciate ligament reconstruction; magnetic resonance imaging

---

Ketersediaan

Tidak ada salinan data

Informasi Detail

Judul Seri

Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology

No. Panggil

-

Penerbit

: Asia Pacific Knee., 2016

Deskripsi Fisik

Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology 3 (2016) 6e12

Bahasa

English

ISBN/ISSN

-

Klasifikasi

-

Tipe Isi

-

Tipe Media

-

Tipe Pembawa

-

Edisi

-

Subjek

Sport And Kesehatan

Info Detail Spesifik

-

Pernyataan Tanggungjawab

Wati/Agus

Versi lain/terkait

Lampiran Berkas

Komentar

---

Anda harus masuk sebelum memberikan komentar