Analysis of tunnel widening after double-bundle ACL reconstruction
Purpose The purpose of this study was to evaluate the tunnel widening using a multi-planar reformation of MRI (Magnetic Resonance Imaging) in the orientation of the tunnel. The hypotheses of this study were as follows: (1) tunnel widening would be reduced with the above-mentioned technique, (2) the...
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| Veröffentlicht in: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2012-11, Vol.20 (11), p.2243-2250 |
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| container_title | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA |
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| creator | Lee, Yong Seuk Lee, Sheen-Woo Nam, Shin Woo Oh, Won Seok Sim, Jae Ang Kwak, Ji Hoon Lee, Beom Koo |
| description | Purpose
The purpose of this study was to evaluate the tunnel widening using a multi-planar reformation of MRI (Magnetic Resonance Imaging) in the orientation of the tunnel. The hypotheses of this study were as follows: (1) tunnel widening would be reduced with the above-mentioned technique, (2) the degree of tunnel widening would be different at the site of the tunnels, and (3) the time interval from surgery to MRI acquisition would affect the magnitude of tunnel widening.
Methods
Forty double-bundle ACL reconstructed patients who underwent postoperative MRI were enrolled in this study. The postoperative MRI was performed at 26.7 ± 7.4 months in terms of time. The tunnel widening was examined using a multi-planar reformation of MRI in the orientation of the tunnel. Site-specific analysis was performed according to the depth (the entrance, mid, and exit portion) and wall (anterior, posterior, medial, and lateral walls). The correlation between MRI and widening was also evaluated.
Results
The mean tunnel widening of the femoral AM (Anteromedial), femoral PL (Posterolateral), tibial AM, and tibial PL in terms of the most widened diameter was 1.9 (25.4), 2.1 (30.8), 2.5 (32.8), and 3.2 mm (44.5%), respectively. The tibial PL tunnel showed significant widening than the other tunnels. At the entrance, tunnel widening occurred mostly, followed by the order of the mid and exit portion. Correlation analysis of the time interval of MRI acquisition and tunnel widening showed little association.
Conclusions
Tunnel widening after a double-bundle ACL reconstruction using an outside-in technique with press-fitting of the graft was acceptable compared to previously published studies. The tibial PL tunnel showed the most widening among the 4 tunnels examined with the tunnel entrance being most widened area.
Level of evidence
Therapeutic case series, Level IV. |
| doi_str_mv | 10.1007/s00167-011-1874-5 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1125237487</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1114703722</sourcerecordid><originalsourceid>FETCH-LOGICAL-c405t-78ac99be153103657317edb37216afa9ca1eef1c7d7b0ac98d9828af789881b53</originalsourceid><addsrcrecordid>eNqNkU9LAzEQxYMotlY_gBdZ8OIlmkmym-yxFv9BwYueQ3Z3tmzZZmuyi_Tbm9oqIgieZmB-82Z4j5BzYNfAmLoJjEGmKAOgoJWk6QEZgxSCKiHVIRmzXHLKWZqNyEkIS8ZiK_NjMuKcyzwOxuR26my7CU1IujrpB-ewTd6bCl3jFomte_RJ1Q1Fi7QYXNViMp3NE49l50Lvh7JvOndKjmrbBjzb1wl5vb97mT3S-fPD02w6p6VkaU-VtmWeFwipACayVAlQWBVCcchsbfPSAmINpapUwSKqq1xzbWulc62hSMWEXO101757GzD0ZtWEEtvWOuyGYAB4yoWSWv0DBalYPM0jevkLXXaDj6Z8UiLTMlU6UrCjSt-F4LE2a9-srN8YYGabhdllYWIWZpuF2f57sVceihVW3xtf5keA74AQR26B_sfpP1U_AOUBkiE</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1113684578</pqid></control><display><type>article</type><title>Analysis of tunnel widening after double-bundle ACL reconstruction</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><source>SpringerLink Journals</source><creator>Lee, Yong Seuk ; Lee, Sheen-Woo ; Nam, Shin Woo ; Oh, Won Seok ; Sim, Jae Ang ; Kwak, Ji Hoon ; Lee, Beom Koo</creator><creatorcontrib>Lee, Yong Seuk ; Lee, Sheen-Woo ; Nam, Shin Woo ; Oh, Won Seok ; Sim, Jae Ang ; Kwak, Ji Hoon ; Lee, Beom Koo</creatorcontrib><description>Purpose
The purpose of this study was to evaluate the tunnel widening using a multi-planar reformation of MRI (Magnetic Resonance Imaging) in the orientation of the tunnel. The hypotheses of this study were as follows: (1) tunnel widening would be reduced with the above-mentioned technique, (2) the degree of tunnel widening would be different at the site of the tunnels, and (3) the time interval from surgery to MRI acquisition would affect the magnitude of tunnel widening.
Methods
Forty double-bundle ACL reconstructed patients who underwent postoperative MRI were enrolled in this study. The postoperative MRI was performed at 26.7 ± 7.4 months in terms of time. The tunnel widening was examined using a multi-planar reformation of MRI in the orientation of the tunnel. Site-specific analysis was performed according to the depth (the entrance, mid, and exit portion) and wall (anterior, posterior, medial, and lateral walls). The correlation between MRI and widening was also evaluated.
Results
The mean tunnel widening of the femoral AM (Anteromedial), femoral PL (Posterolateral), tibial AM, and tibial PL in terms of the most widened diameter was 1.9 (25.4), 2.1 (30.8), 2.5 (32.8), and 3.2 mm (44.5%), respectively. The tibial PL tunnel showed significant widening than the other tunnels. At the entrance, tunnel widening occurred mostly, followed by the order of the mid and exit portion. Correlation analysis of the time interval of MRI acquisition and tunnel widening showed little association.
Conclusions
Tunnel widening after a double-bundle ACL reconstruction using an outside-in technique with press-fitting of the graft was acceptable compared to previously published studies. The tibial PL tunnel showed the most widening among the 4 tunnels examined with the tunnel entrance being most widened area.
Level of evidence
Therapeutic case series, Level IV.</description><identifier>ISSN: 0942-2056</identifier><identifier>EISSN: 1433-7347</identifier><identifier>DOI: 10.1007/s00167-011-1874-5</identifier><identifier>PMID: 22249205</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Adolescent ; Adult ; Analysis ; Anterior Cruciate Ligament Reconstruction - methods ; Arthroscopy ; Bone surgery ; Female ; Femur - pathology ; Femur - surgery ; Follow-Up Studies ; Hospitals ; Humans ; Hypotheses ; Image Interpretation, Computer-Assisted ; Knee ; Knee Joint - pathology ; Knee Joint - surgery ; Knees ; Ligaments ; Magnetic Resonance Imaging ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Orthopedics ; Patients ; Scanning ; Sports ; Surgery ; Techniques ; Tendons - transplantation ; Tibia - pathology ; Tibia - surgery ; Young Adult</subject><ispartof>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2012-11, Vol.20 (11), p.2243-2250</ispartof><rights>Springer-Verlag 2012</rights><rights>Springer-Verlag Berlin Heidelberg 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c405t-78ac99be153103657317edb37216afa9ca1eef1c7d7b0ac98d9828af789881b53</citedby><cites>FETCH-LOGICAL-c405t-78ac99be153103657317edb37216afa9ca1eef1c7d7b0ac98d9828af789881b53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00167-011-1874-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00167-011-1874-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22249205$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Yong Seuk</creatorcontrib><creatorcontrib>Lee, Sheen-Woo</creatorcontrib><creatorcontrib>Nam, Shin Woo</creatorcontrib><creatorcontrib>Oh, Won Seok</creatorcontrib><creatorcontrib>Sim, Jae Ang</creatorcontrib><creatorcontrib>Kwak, Ji Hoon</creatorcontrib><creatorcontrib>Lee, Beom Koo</creatorcontrib><title>Analysis of tunnel widening after double-bundle ACL reconstruction</title><title>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</title><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><description>Purpose
The purpose of this study was to evaluate the tunnel widening using a multi-planar reformation of MRI (Magnetic Resonance Imaging) in the orientation of the tunnel. The hypotheses of this study were as follows: (1) tunnel widening would be reduced with the above-mentioned technique, (2) the degree of tunnel widening would be different at the site of the tunnels, and (3) the time interval from surgery to MRI acquisition would affect the magnitude of tunnel widening.
Methods
Forty double-bundle ACL reconstructed patients who underwent postoperative MRI were enrolled in this study. The postoperative MRI was performed at 26.7 ± 7.4 months in terms of time. The tunnel widening was examined using a multi-planar reformation of MRI in the orientation of the tunnel. Site-specific analysis was performed according to the depth (the entrance, mid, and exit portion) and wall (anterior, posterior, medial, and lateral walls). The correlation between MRI and widening was also evaluated.
Results
The mean tunnel widening of the femoral AM (Anteromedial), femoral PL (Posterolateral), tibial AM, and tibial PL in terms of the most widened diameter was 1.9 (25.4), 2.1 (30.8), 2.5 (32.8), and 3.2 mm (44.5%), respectively. The tibial PL tunnel showed significant widening than the other tunnels. At the entrance, tunnel widening occurred mostly, followed by the order of the mid and exit portion. Correlation analysis of the time interval of MRI acquisition and tunnel widening showed little association.
Conclusions
Tunnel widening after a double-bundle ACL reconstruction using an outside-in technique with press-fitting of the graft was acceptable compared to previously published studies. The tibial PL tunnel showed the most widening among the 4 tunnels examined with the tunnel entrance being most widened area.
Level of evidence
Therapeutic case series, Level IV.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Analysis</subject><subject>Anterior Cruciate Ligament Reconstruction - methods</subject><subject>Arthroscopy</subject><subject>Bone surgery</subject><subject>Female</subject><subject>Femur - pathology</subject><subject>Femur - surgery</subject><subject>Follow-Up Studies</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Hypotheses</subject><subject>Image Interpretation, Computer-Assisted</subject><subject>Knee</subject><subject>Knee Joint - pathology</subject><subject>Knee Joint - surgery</subject><subject>Knees</subject><subject>Ligaments</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Patients</subject><subject>Scanning</subject><subject>Sports</subject><subject>Surgery</subject><subject>Techniques</subject><subject>Tendons - transplantation</subject><subject>Tibia - pathology</subject><subject>Tibia - surgery</subject><subject>Young Adult</subject><issn>0942-2056</issn><issn>1433-7347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqNkU9LAzEQxYMotlY_gBdZ8OIlmkmym-yxFv9BwYueQ3Z3tmzZZmuyi_Tbm9oqIgieZmB-82Z4j5BzYNfAmLoJjEGmKAOgoJWk6QEZgxSCKiHVIRmzXHLKWZqNyEkIS8ZiK_NjMuKcyzwOxuR26my7CU1IujrpB-ewTd6bCl3jFomte_RJ1Q1Fi7QYXNViMp3NE49l50Lvh7JvOndKjmrbBjzb1wl5vb97mT3S-fPD02w6p6VkaU-VtmWeFwipACayVAlQWBVCcchsbfPSAmINpapUwSKqq1xzbWulc62hSMWEXO101757GzD0ZtWEEtvWOuyGYAB4yoWSWv0DBalYPM0jevkLXXaDj6Z8UiLTMlU6UrCjSt-F4LE2a9-srN8YYGabhdllYWIWZpuF2f57sVceihVW3xtf5keA74AQR26B_sfpP1U_AOUBkiE</recordid><startdate>20121101</startdate><enddate>20121101</enddate><creator>Lee, Yong Seuk</creator><creator>Lee, Sheen-Woo</creator><creator>Nam, Shin Woo</creator><creator>Oh, Won Seok</creator><creator>Sim, Jae Ang</creator><creator>Kwak, Ji Hoon</creator><creator>Lee, Beom Koo</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20121101</creationdate><title>Analysis of tunnel widening after double-bundle ACL reconstruction</title><author>Lee, Yong Seuk ; Lee, Sheen-Woo ; Nam, Shin Woo ; Oh, Won Seok ; Sim, Jae Ang ; Kwak, Ji Hoon ; Lee, Beom Koo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c405t-78ac99be153103657317edb37216afa9ca1eef1c7d7b0ac98d9828af789881b53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Analysis</topic><topic>Anterior Cruciate Ligament Reconstruction - methods</topic><topic>Arthroscopy</topic><topic>Bone surgery</topic><topic>Female</topic><topic>Femur - pathology</topic><topic>Femur - surgery</topic><topic>Follow-Up Studies</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Hypotheses</topic><topic>Image Interpretation, Computer-Assisted</topic><topic>Knee</topic><topic>Knee Joint - pathology</topic><topic>Knee Joint - surgery</topic><topic>Knees</topic><topic>Ligaments</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Patients</topic><topic>Scanning</topic><topic>Sports</topic><topic>Surgery</topic><topic>Techniques</topic><topic>Tendons - transplantation</topic><topic>Tibia - pathology</topic><topic>Tibia - surgery</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Yong Seuk</creatorcontrib><creatorcontrib>Lee, Sheen-Woo</creatorcontrib><creatorcontrib>Nam, Shin Woo</creatorcontrib><creatorcontrib>Oh, Won Seok</creatorcontrib><creatorcontrib>Sim, Jae Ang</creatorcontrib><creatorcontrib>Kwak, Ji Hoon</creatorcontrib><creatorcontrib>Lee, Beom Koo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Yong Seuk</au><au>Lee, Sheen-Woo</au><au>Nam, Shin Woo</au><au>Oh, Won Seok</au><au>Sim, Jae Ang</au><au>Kwak, Ji Hoon</au><au>Lee, Beom Koo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Analysis of tunnel widening after double-bundle ACL reconstruction</atitle><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle><stitle>Knee Surg Sports Traumatol Arthrosc</stitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><date>2012-11-01</date><risdate>2012</risdate><volume>20</volume><issue>11</issue><spage>2243</spage><epage>2250</epage><pages>2243-2250</pages><issn>0942-2056</issn><eissn>1433-7347</eissn><abstract>Purpose
The purpose of this study was to evaluate the tunnel widening using a multi-planar reformation of MRI (Magnetic Resonance Imaging) in the orientation of the tunnel. The hypotheses of this study were as follows: (1) tunnel widening would be reduced with the above-mentioned technique, (2) the degree of tunnel widening would be different at the site of the tunnels, and (3) the time interval from surgery to MRI acquisition would affect the magnitude of tunnel widening.
Methods
Forty double-bundle ACL reconstructed patients who underwent postoperative MRI were enrolled in this study. The postoperative MRI was performed at 26.7 ± 7.4 months in terms of time. The tunnel widening was examined using a multi-planar reformation of MRI in the orientation of the tunnel. Site-specific analysis was performed according to the depth (the entrance, mid, and exit portion) and wall (anterior, posterior, medial, and lateral walls). The correlation between MRI and widening was also evaluated.
Results
The mean tunnel widening of the femoral AM (Anteromedial), femoral PL (Posterolateral), tibial AM, and tibial PL in terms of the most widened diameter was 1.9 (25.4), 2.1 (30.8), 2.5 (32.8), and 3.2 mm (44.5%), respectively. The tibial PL tunnel showed significant widening than the other tunnels. At the entrance, tunnel widening occurred mostly, followed by the order of the mid and exit portion. Correlation analysis of the time interval of MRI acquisition and tunnel widening showed little association.
Conclusions
Tunnel widening after a double-bundle ACL reconstruction using an outside-in technique with press-fitting of the graft was acceptable compared to previously published studies. The tibial PL tunnel showed the most widening among the 4 tunnels examined with the tunnel entrance being most widened area.
Level of evidence
Therapeutic case series, Level IV.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>22249205</pmid><doi>10.1007/s00167-011-1874-5</doi><tpages>8</tpages></addata></record> |
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| ispartof | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2012-11, Vol.20 (11), p.2243-2250 |
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| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; SpringerLink Journals |
| subjects | Adolescent Adult Analysis Anterior Cruciate Ligament Reconstruction - methods Arthroscopy Bone surgery Female Femur - pathology Femur - surgery Follow-Up Studies Hospitals Humans Hypotheses Image Interpretation, Computer-Assisted Knee Knee Joint - pathology Knee Joint - surgery Knees Ligaments Magnetic Resonance Imaging Male Medicine Medicine & Public Health Middle Aged Orthopedics Patients Scanning Sports Surgery Techniques Tendons - transplantation Tibia - pathology Tibia - surgery Young Adult |
| title | Analysis of tunnel widening after double-bundle ACL reconstruction |
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