Does flexible tunnel drilling affect the femoral tunnel angle measurement after anterior cruciate ligament reconstruction?
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| 024 | 7 | 0 | |a 10.1007/s00167-014-3181-4 |2 doi |
| 035 | |a (NATIONALLICENCE)springer-10.1007/s00167-014-3181-4 | ||
| 245 | 0 | 0 | |a Does flexible tunnel drilling affect the femoral tunnel angle measurement after anterior cruciate ligament reconstruction? |h [Elektronische Daten] |c [Bart Muller, Marcus Hofbauer, Akere Atte, C. van Dijk, Freddie Fu] |
| 520 | 3 | |a Purpose: To quantify the mean difference in femoral tunnel angle (FTA) as measured on knee radiographs between rigid and flexible tunnel drilling after anatomic anterior cruciate ligament (ACL) reconstruction. Methods: Fifty consecutive patients that underwent primary anatomic ACL reconstruction with a single femoral tunnel drilled with a flexible reamer were included in this study. The control group was comprised of 50 patients all of who underwent primary anatomic ACL reconstruction with a single femoral tunnel drilled with a rigid reamer. All femoral tunnels were drilled through a medial portal to ensure anatomic tunnel placement. The FTA was determined from post-operative anterior-to-posterior (AP) radiographs by two independent observers. A 5° difference between the two mean FTA was considered clinically significant. Results: The average FTA, when drilled with a rigid reamer, was 42.0°±7.2°. Drilling with a flexible reamer resulted in a mean FTA of 44.7°±7.0°. The mean difference of 2.7° was not statistically significant. The intraclass correlation coefficient for inter-tester reliability was 0.895. Conclusions: The FTA can be reliably determined from post-operative AP radiographs and provides a useful and reproducible metric for characterizing femoral tunnel position after both rigid and flexible femoral tunnel drilling. This has implications for post-operative evaluation and preoperative treatment planning for ACL revision surgery. Level of evidence: IV. | |
| 540 | |a Springer-Verlag Berlin Heidelberg, 2014 | ||
| 690 | 7 | |a Femoral tunnel angle (FTA) |2 nationallicence | |
| 690 | 7 | |a Anterior cruciate ligament (ACL) |2 nationallicence | |
| 690 | 7 | |a Anterior cruciate ligament reconstruction |2 nationallicence | |
| 690 | 7 | |a Flexible tunnel drilling |2 nationallicence | |
| 700 | 1 | |a Muller |D Bart |u Department of Orthopaedic Surgery, Academic Medical Center, University of Amsterdam, P.O. Box 22660, 1100 DD, Amsterdam, The Netherlands |4 aut | |
| 700 | 1 | |a Hofbauer |D Marcus |u Universitätsklinik für Unfallchirurgie, Medical University of Vienna, Vienna, Austria |4 aut | |
| 700 | 1 | |a Atte |D Akere |u Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, University of Pittsburgh, Pittsburgh, PA, USA |4 aut | |
| 700 | 1 | |a van Dijk |D C. |u Department of Orthopaedic Surgery, Academic Medical Center, University of Amsterdam, P.O. Box 22660, 1100 DD, Amsterdam, The Netherlands |4 aut | |
| 700 | 1 | |a Fu |D Freddie |u Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, University of Pittsburgh, Pittsburgh, PA, USA |4 aut | |
| 773 | 0 | |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/12(2015-12-01), 3482-3486 |x 0942-2056 |q 23:12<3482 |1 2015 |2 23 |o 167 | |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s00167-014-3181-4 |q text/html |z Onlinezugriff via DOI |
| 898 | |a BK010053 |b XK010053 |c XK010000 | ||
| 900 | 7 | |a Metadata rights reserved |b Springer special CC-BY-NC licence |2 nationallicence | |
| 908 | |D 1 |a research-article |2 jats | ||
| 949 | |B NATIONALLICENCE |F NATIONALLICENCE |b NL-springer | ||
| 950 | |B NATIONALLICENCE |P 856 |E 40 |u https://doi.org/10.1007/s00167-014-3181-4 |q text/html |z Onlinezugriff via DOI | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Muller |D Bart |u Department of Orthopaedic Surgery, Academic Medical Center, University of Amsterdam, P.O. Box 22660, 1100 DD, Amsterdam, The Netherlands |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Hofbauer |D Marcus |u Universitätsklinik für Unfallchirurgie, Medical University of Vienna, Vienna, Austria |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Atte |D Akere |u Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, University of Pittsburgh, Pittsburgh, PA, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a van Dijk |D C. |u Department of Orthopaedic Surgery, Academic Medical Center, University of Amsterdam, P.O. Box 22660, 1100 DD, Amsterdam, The Netherlands |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Fu |D Freddie |u Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, University of Pittsburgh, Pittsburgh, PA, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 773 |E 0- |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/12(2015-12-01), 3482-3486 |x 0942-2056 |q 23:12<3482 |1 2015 |2 23 |o 167 | ||