Outcome of anatomical double-bundle ACL reconstruction using hamstring tendons via an outside-in approach
Gespeichert in:
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)
Online Zugang:
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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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| 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 | ||