Outcome of anatomical double-bundle ACL reconstruction using hamstring tendons via an outside-in approach

Verfasser / Beitragende:
[Hiroshi Amano, Yukiyoshi Toritsuka, Ryohei Uchida, Tatsuo Mae, Kenji Ohzono, Konsei Shino]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/4(2015-04-01), 1222-1230
Format:
Artikel (online)
ID: 605458723
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024 7 0 |a 10.1007/s00167-014-2950-4  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-2950-4 
245 0 0 |a Outcome of anatomical double-bundle ACL reconstruction using hamstring tendons via an outside-in approach  |h [Elektronische Daten]  |c [Hiroshi Amano, Yukiyoshi Toritsuka, Ryohei Uchida, Tatsuo Mae, Kenji Ohzono, Konsei Shino] 
520 3 |a Purpose: To evaluate the clinical outcome of anatomical double-bundle anterior cruciate ligament (ACL) reconstruction using multistranded hamstring tendons via an outside-in approach. Methods: One hundred and twenty-one patients (mean age 28±10years) who underwent ACL reconstruction were examined. Using an outside-in femoral drill guide, an upper femoral tunnel for the anteromedial (AM) graft was created just below the superior articular cartilage margin of the medial wall of the lateral condyle through a small incision. A lower femoral tunnel for the posterolateral (PL) graft was drilled in the centre of the inferior-posterior half of the attachment area behind the resident's ridge in the same manner. Two tibial tunnels were created at the centre of the AM and PL bundle footprints of a normal ACL. Patients were evaluated at 24months postoperatively. Results: According to the IKDC form, 52 knees (43%) were graded as normal, 64 (53%) as nearly normal, 1 (1%) as abnormal and 4 (3%) as graft rupture due to re-injury. Loss of knee extension of <5° was observed in one patient (1%). Among 111 patients who were directly evaluated, none showed loss of flexion of <5°. Lachman sign was negative in 103 patients (93%), while the pivot shift test result was negative or equivalent to that of the contralateral healthy knee in 103 patients (93%). The mean side-to-side difference in anterior laxity at manual maximum force with the KT-2000 arthrometer® was 0.9±1.1mm, and 94% of patients showed a range between −1 and +2mm. Conclusion: The anatomical double-bundle outside-in ACL reconstruction provided a satisfactory short-term outcome. Level of evidence: Case series, Level IV. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a The anatomical double-bundle ACL reconstruction  |2 nationallicence 
690 7 |a Clinical results  |2 nationallicence 
690 7 |a Outside-in approach  |2 nationallicence 
690 7 |a Short-term results  |2 nationallicence 
700 1 |a Amano  |D Hiroshi  |u Department of Orthopaedics, Osaka Rosai Hospital, 1179-3, Nagasonecho, Kitaku, 591-8025, Sakai, Osaka, Japan  |4 aut 
700 1 |a Toritsuka  |D Yukiyoshi  |u Department of Orthopaedic Sports Medicine, Kansai Rosai Hospital, 3-1-69, Inabaso, 660-0064, Amagasaki, Hyogo, Japan  |4 aut 
700 1 |a Uchida  |D Ryohei  |u Department of Orthopaedic Sports Medicine, Kansai Rosai Hospital, 3-1-69, Inabaso, 660-0064, Amagasaki, Hyogo, Japan  |4 aut 
700 1 |a Mae  |D Tatsuo  |u Department of Orthopaedics, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, 565-0871, Suita, Osaka, Japan  |4 aut 
700 1 |a Ohzono  |D Kenji  |u Department of Orthopaedic Sports Medicine, Kansai Rosai Hospital, 3-1-69, Inabaso, 660-0064, Amagasaki, Hyogo, Japan  |4 aut 
700 1 |a Shino  |D Konsei  |u Osaka Yukioka College of Health Science, 1-1-41, Sojiji, 567-0801, Ibaraki, Osaka, Japan  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/4(2015-04-01), 1222-1230  |x 0942-2056  |q 23:4<1222  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-2950-4  |q text/html  |z Onlinezugriff via DOI 
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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/s00167-014-2950-4  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Amano  |D Hiroshi  |u Department of Orthopaedics, Osaka Rosai Hospital, 1179-3, Nagasonecho, Kitaku, 591-8025, Sakai, Osaka, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Toritsuka  |D Yukiyoshi  |u Department of Orthopaedic Sports Medicine, Kansai Rosai Hospital, 3-1-69, Inabaso, 660-0064, Amagasaki, Hyogo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Uchida  |D Ryohei  |u Department of Orthopaedic Sports Medicine, Kansai Rosai Hospital, 3-1-69, Inabaso, 660-0064, Amagasaki, Hyogo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Mae  |D Tatsuo  |u Department of Orthopaedics, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, 565-0871, Suita, Osaka, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ohzono  |D Kenji  |u Department of Orthopaedic Sports Medicine, Kansai Rosai Hospital, 3-1-69, Inabaso, 660-0064, Amagasaki, Hyogo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Shino  |D Konsei  |u Osaka Yukioka College of Health Science, 1-1-41, Sojiji, 567-0801, Ibaraki, Osaka, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/4(2015-04-01), 1222-1230  |x 0942-2056  |q 23:4<1222  |1 2015  |2 23  |o 167