Abstract:
INTRODUCTION:Over time, the need for anatomic anterior cruciate ligament (ACL) to restore normal kinematics and postoperative function of the knee has been accepted. The purpose of this study was to compare the sagittal alignment of reconstructed ACL, which is performed between transtibial (TT) technique and accessory anteromedial (AAM) portal technique and between the reconstructed and the normal side in the same patient. In addition, we used the head of a metallic femoral interference screw as a reference to measure the femoral tunnel position. PATIENTS AND METHODS:This was a retrospective study with 15 patients in each group: accessory anteromedial portal technique (n = 15), TT technique (n = 15) and contralateral normal side of each technique group (15 knees per technique). Magnetic resonance images of the ACL sagittal angle and radiographs of the coronal screw angle were used for comparing the two groups. The paired t test was used to compare operated and contralateral normal knee and independent t test was used to compare the TT and the AAM groups. RESULTS:The sagittal angle of ACL of AAM technique (51.6 ± 3.3°) was not different from the normal side (50.8 ± 2.1°) (P = 0.270), however that of the TT technique (59.9 ± 5.7°) was significantly different from the normal side (50.9 ± 2.4°) (P < 0.001). The sagittal angle of AAM technique was significantly lower than that of the TT technique (P < 0.001). The coronal angle of the screw to axis of the femur in AAM technique (51.7 ± 3.8°) was more horizontal than that of the TT technique (24.4 ± 8.9°) (P < 0.001). The center of the screw head of the AAM technique was 30.7 ± 3.1 % of the Blumensaat line and 39.2 ± 5.2 % of the condylar height. CONCLUSION:The anatomic sagittal angle of ACL can be achieved using the AAM technique compared with the TT technique. In addition, the angle of the screw in coronal plane was more horizontal using the AAM technique than with use of the TT technique. LEVEL OF EVIDENCE:Level III, diagnostic study.
journal_name
Arch Orthop Trauma Surgjournal_title
Archives of orthopaedic and trauma surgeryauthors
Cho Y,Cho J,Kim Ddoi
10.1007/s00402-012-1498-3subject
Has Abstractpub_date
2012-07-01 00:00:00pages
1011-9issue
7eissn
0936-8051issn
1434-3916journal_volume
132pub_type
杂志文章abstract::The influence of transient circulatory arrest on the healing of closed tibial fractures was investigated in rats by the use of a hindlimb tourniquet technique. Twenty-four animals were randomly divided into three groups. In all animals, the left lower leg was fractured and fixed with an intramedullary nail system. In ...
journal_title:Archives of orthopaedic and trauma surgery
pub_type: 杂志文章
doi:10.1007/s004020050245
更新日期:1998-01-01 00:00:00
abstract:INTRODUCTION:The rotator cuff has a characteristic structure, in that one surface faces articular cartilage and another faces bursa. This structure may produce differences in the healing process between the rotator cuff and other tendons. We investigated the spontaneous healing process of a surgically created supraspin...
journal_title:Archives of orthopaedic and trauma surgery
pub_type: 杂志文章
doi:10.1007/s00402-004-0663-8
更新日期:2004-07-01 00:00:00
abstract:INTRODUCTION:To investigate whether the occurrence of pulmonary embolism (PE) and/or deep vein thrombosis (DVT) are influenced by use of a tourniquet or not in the patients who underwent total knee arthroplasty for rheumatoid arthritis (RA). PATIENTS AND METHODS:The patients were randomly divided into a with-tournique...
journal_title:Archives of orthopaedic and trauma surgery
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2002-11-01 00:00:00
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journal_title:Archives of orthopaedic and trauma surgery
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journal_title:Archives of orthopaedic and trauma surgery
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abstract::Injuries after an electric shock, such as dermal burns, motor and sensory nerve deficits, fractures and dislocations, are reported in the literature. Posterior dislocation of the shoulder after electric-shock is the common musculoskeletal injury. Bilateral dislocation, either anterior or posterior, is rarely seen and ...
journal_title:Archives of orthopaedic and trauma surgery
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journal_title:Archives of orthopaedic and trauma surgery
pub_type: 杂志文章
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更新日期:2001-07-01 00:00:00
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journal_title:Archives of orthopaedic and trauma surgery
pub_type: 杂志文章
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journal_title:Archives of orthopaedic and trauma surgery
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journal_title:Archives of orthopaedic and trauma surgery
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journal_title:Archives of orthopaedic and trauma surgery
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journal_title:Archives of orthopaedic and trauma surgery
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doi:10.1007/s00402-008-0615-9
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journal_title:Archives of orthopaedic and trauma surgery
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更新日期:1998-01-01 00:00:00
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journal_title:Archives of orthopaedic and trauma surgery
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journal_title:Archives of orthopaedic and trauma surgery
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doi:10.1007/s00402-018-2876-2
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journal_title:Archives of orthopaedic and trauma surgery
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abstract:INTRODUCTION:The treatment of extremely severe and rigid spinal deformities was a great surgical challenge. Pulmonary impairment often occurred, which increased the challenges to already daunting surgical approaches. The present study was performed to evaluate the safety and efficacy of posterior-only surgical correcti...
journal_title:Archives of orthopaedic and trauma surgery
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journal_title:Archives of orthopaedic and trauma surgery
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journal_title:Archives of orthopaedic and trauma surgery
pub_type: 临床试验,杂志文章
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更新日期:1998-01-01 00:00:00
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journal_title:Archives of orthopaedic and trauma surgery
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更新日期:2011-09-01 00:00:00
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journal_title:Archives of orthopaedic and trauma surgery
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doi:10.1007/s00402-008-0696-5
更新日期:2009-07-01 00:00:00
abstract::The cortical bone mineral density (BMD), bone volume, bone mass and muscle volume of the thigh, and the BMD of the distal femur and proximal tibia were measured quantified by quantitative computed tomography (QCT) after an operation for a displaced femoral neck fracture. Twenty patients were randomized to osteosynthes...
journal_title:Archives of orthopaedic and trauma surgery
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1997-01-01 00:00:00
abstract:INTRODUCTION:Two revisions of broken β-titanium total hip stems had to be performed in our hospital after 2 and 4 years in situ. Since both fractures were located at the level of a laser engraving, a failure analysis was conducted. MATERIALS AND METHODS:Both retrieved hip stems were disinfected and collected in our re...
journal_title:Archives of orthopaedic and trauma surgery
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journal_title:Archives of orthopaedic and trauma surgery
pub_type: 杂志文章
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journal_title:Archives of orthopaedic and trauma surgery
pub_type: 杂志文章,评审
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journal_title:Archives of orthopaedic and trauma surgery
pub_type: 临床试验,杂志文章,随机对照试验
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