Título:
Anterior cruciate ligament reconstruction, can an anatomic femoral tunnel be achieved with the trans-tibial technique? Cadaveric study
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Autor:
Acevedo Tobler, Daniel
Hermosilla, Santiago
Otero, Natalia
Kenny, Juan
Del Castillo, Juan
Hermosilla, Santiago
Otero, Natalia
Kenny, Juan
Del Castillo, Juan
Tutor:
Tipo de documento:
Artículo
Editor:
Palabras clave:
Anterior cruciate ligament
Femoral tunnel
Reconstruction
Trans-tibial tunnel
Femoral tunnel
Reconstruction
Trans-tibial tunnel
Descriptores:
LIGAMENTO CRUZADO ANTERIOR
RECONSTRUCCIÓN DEL LIGAMENTO CRUZADO ANTERIOR
RODILLA
RECONSTRUCCIÓN DEL LIGAMENTO CRUZADO ANTERIOR
RODILLA
Año de publicación:
2022
Contenido:
Resumen:
Purpose: To evaluate the possibility to access the anatomic femoral insertion of the anterior cruciate ligament (ACL) through trans-tibial (TT) and trans-portal technique, for ACL reconstruction in an independent way. To register anatomical characteristics of the TT tunnels.
Methods: Ten formaldehyde preserved knee anatomic articular specimens were dissected. Femoral tunnels were
confectioned reproducing the original topography of the ACL. First, the femoral tunnel was made with the independent trans-portal technique. Then, utilizing the tibial stump of the ACL and tibial guides at 45°, the TT tunnels were confectioned trying to match the previously made femoral tunnel by trans-portal technique.
Results: In all specimens, match between the TT tunnel with the independent trans-portal tunnel was achieved.
Mean values for TT coronal angle was 53,0°, for transversal angle 43,3° and for distance from tunnel to joint line
2,55 cm. A horizontalization and medialization of the TT tunnels had to be made to adequately match with the femoral tunnel made by the independent trans-portal technique.
Conclusions: By macroscopic anatomic and independent means, an anatomic femoral tunnel was confectioned
with the TT technique matching with the anatomic femoral tunnel made in an independent way. As clinical relevance, the present study allows to anatomically assess the possibility to perform an anatomic femoral tunnel through the TT technique.
Level of evidence: V
Descripción:
Editorial:
Springer Open; Wiley
EN:
Journal of Experimental Orthopaedics. 2022;9(1)
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Citación:
Acevedo Tobler D, Hermosilla S, Otero N y otros. Anterior cruciate ligament reconstruction, can an anatomic femoral tunnel be achieved with the trans-tibial technique? Cadaveric study. Journal of Experimental Orthopaedics [en línea]. 2022;9(1). 5 p.
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https://hdl.handle.net/20.500.12008/54516
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ISSN:
10.1186/s40634-021-00444-w
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Licencia Creative Commons Atribución (CC - By 4.0)
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| Ficheros | Descripción | Tamaño | Formato | ||
|---|---|---|---|---|---|
| Anterior cruciate ligament reconstruction.pdf | Anterior cruciate ligament reconstruction | 965.8 KB | Adobe PDF |