A modified arthroscopic anterior cruciate ligament double-bundle reconstruction technique with autogenous quadriceps tendon graft: remnant-preserving technique
Several techniques of anterior cruciate ligament (ACL) double-bundle reconstruction have been introduced to improve the functional outcome and restore normal kinematics of the knee. Meanwhile, a remnant-preserving technique was developed to preserve the proprioception and to enhance the revasculariz...
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Veröffentlicht in: | Archives of orthopaedic and trauma surgery 2009-03, Vol.129 (3), p.403-407 |
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creator | Kim, Sung-Jae Jo, Seung-Bae Kim, Tai-Won Chang, Ji-Hoon Choi, Heon-Sik Oh, Kyung-Soo |
description | Several techniques of anterior cruciate ligament (ACL) double-bundle reconstruction have been introduced to improve the functional outcome and restore normal kinematics of the knee. Meanwhile, a remnant-preserving technique was developed to preserve the proprioception and to enhance the revascularization of the reconstructed ACL. We developed double-bundle ACL reconstruction technique using autogenous quadriceps tendon graft while preserving the remnant. With this technique, two femoral sockets and one tibial tunnel are made. To preserve the remnant of the ACL, the rotational direction of the reamer was set to counterclockwise just before perforation of the tibial tunnel. To pass the graft more easily without disturbance of the remnant, the graft passage was achieved through the tibial tunnel. We suggest that the remnant-preserving technique could be an effective alternative considering its mechanical stability as well as the proprioception and vascularization recovery in arthroscopic double-bundle ACL reconstruction. |
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Meanwhile, a remnant-preserving technique was developed to preserve the proprioception and to enhance the revascularization of the reconstructed ACL. We developed double-bundle ACL reconstruction technique using autogenous quadriceps tendon graft while preserving the remnant. With this technique, two femoral sockets and one tibial tunnel are made. To preserve the remnant of the ACL, the rotational direction of the reamer was set to counterclockwise just before perforation of the tibial tunnel. To pass the graft more easily without disturbance of the remnant, the graft passage was achieved through the tibial tunnel. We suggest that the remnant-preserving technique could be an effective alternative considering its mechanical stability as well as the proprioception and vascularization recovery in arthroscopic double-bundle ACL reconstruction.</description><identifier>ISSN: 0936-8051</identifier><identifier>EISSN: 1434-3916</identifier><identifier>DOI: 10.1007/s00402-008-0764-x</identifier><identifier>PMID: 18818934</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Anterior Cruciate Ligament - surgery ; Anterior Cruciate Ligament Injuries ; Arthroscopy - methods ; Arthroscopy and Sports Medicine ; Female ; Humans ; Knee ; Knee Joint - surgery ; Male ; Medicine ; Medicine & Public Health ; Orthopedics ; Quadriceps Muscle - transplantation ; Reconstructive Surgical Procedures - methods ; Suture Techniques ; Tendons - transplantation ; Transplantation, Autologous</subject><ispartof>Archives of orthopaedic and trauma surgery, 2009-03, Vol.129 (3), p.403-407</ispartof><rights>Springer-Verlag 2008</rights><rights>Archives of Orthopaedic and Trauma Surgery is a copyright of Springer, (2008). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c370t-62b8175985149e501212a009bc4f7b4bf5288f7f061a2096990e1577463b0663</citedby><cites>FETCH-LOGICAL-c370t-62b8175985149e501212a009bc4f7b4bf5288f7f061a2096990e1577463b0663</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/s00402-008-0764-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00402-008-0764-x$$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/18818934$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, Sung-Jae</creatorcontrib><creatorcontrib>Jo, Seung-Bae</creatorcontrib><creatorcontrib>Kim, Tai-Won</creatorcontrib><creatorcontrib>Chang, Ji-Hoon</creatorcontrib><creatorcontrib>Choi, Heon-Sik</creatorcontrib><creatorcontrib>Oh, Kyung-Soo</creatorcontrib><title>A modified arthroscopic anterior cruciate ligament double-bundle reconstruction technique with autogenous quadriceps tendon graft: remnant-preserving technique</title><title>Archives of orthopaedic and trauma surgery</title><addtitle>Arch Orthop Trauma Surg</addtitle><addtitle>Arch Orthop Trauma Surg</addtitle><description>Several techniques of anterior cruciate ligament (ACL) double-bundle reconstruction have been introduced to improve the functional outcome and restore normal kinematics of the knee. 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We suggest that the remnant-preserving technique could be an effective alternative considering its mechanical stability as well as the proprioception and vascularization recovery in arthroscopic double-bundle ACL reconstruction.</description><subject>Anterior Cruciate Ligament - surgery</subject><subject>Anterior Cruciate Ligament Injuries</subject><subject>Arthroscopy - methods</subject><subject>Arthroscopy and Sports Medicine</subject><subject>Female</subject><subject>Humans</subject><subject>Knee</subject><subject>Knee Joint - surgery</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Orthopedics</subject><subject>Quadriceps Muscle - transplantation</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>Suture Techniques</subject><subject>Tendons - transplantation</subject><subject>Transplantation, Autologous</subject><issn>0936-8051</issn><issn>1434-3916</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kc9q3DAQxkVpabZpH6CXIij0pnYky7LUWwj9B4FecjeyPPYq2NJGktvkafqqVdiFhUJPc5jffN_MfIS85fCRA3SfMoAEwQA0g05J9vCM7LhsJGsMV8_JDkyjmIaWX5BXOd8BcKENvCQXXGuuTSN35M8VXePoJ48jtansU8wuHryjNhRMPibq0ua8LUgXP9sVQ6Fj3IYF2bCFcUGa0MWQS6WKj4EWdPvg7zekv33ZU7uVOGOIW6b3mx2Td3jIFQpjZedkp_K5Kqyh2rFDwozplw_zWeU1eTHZJeObU70kt1-_3F5_Zzc_v_24vrphrumgMCUGzbvW6JZLg209lAsLYAYnp26Qw9QKraduAsWtAKOMAeRt10nVDKBUc0k-HGUPKVbXXPrVZ4fLYgPW3Xul6keFlBV8_w94F7cU6mq9EIob3XSNqBQ_Uq7-Myec-kPyq02PPYf-Kbr-GF1fo-ufousf6sy7k_I2rDieJ05ZVUAcgVxbYcZ0tv6_6l_GLKfT</recordid><startdate>20090301</startdate><enddate>20090301</enddate><creator>Kim, Sung-Jae</creator><creator>Jo, Seung-Bae</creator><creator>Kim, Tai-Won</creator><creator>Chang, Ji-Hoon</creator><creator>Choi, Heon-Sik</creator><creator>Oh, Kyung-Soo</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>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20090301</creationdate><title>A modified arthroscopic anterior cruciate ligament double-bundle reconstruction technique with autogenous quadriceps tendon graft: remnant-preserving technique</title><author>Kim, Sung-Jae ; Jo, Seung-Bae ; Kim, Tai-Won ; Chang, Ji-Hoon ; Choi, Heon-Sik ; Oh, Kyung-Soo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c370t-62b8175985149e501212a009bc4f7b4bf5288f7f061a2096990e1577463b0663</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Anterior Cruciate Ligament - surgery</topic><topic>Anterior Cruciate Ligament Injuries</topic><topic>Arthroscopy - methods</topic><topic>Arthroscopy and Sports Medicine</topic><topic>Female</topic><topic>Humans</topic><topic>Knee</topic><topic>Knee Joint - surgery</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Orthopedics</topic><topic>Quadriceps Muscle - transplantation</topic><topic>Reconstructive Surgical Procedures - methods</topic><topic>Suture Techniques</topic><topic>Tendons - transplantation</topic><topic>Transplantation, Autologous</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, Sung-Jae</creatorcontrib><creatorcontrib>Jo, Seung-Bae</creatorcontrib><creatorcontrib>Kim, Tai-Won</creatorcontrib><creatorcontrib>Chang, Ji-Hoon</creatorcontrib><creatorcontrib>Choi, Heon-Sik</creatorcontrib><creatorcontrib>Oh, Kyung-Soo</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>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</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>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>Nursing & Allied Health Premium</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>Archives of orthopaedic and trauma surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Sung-Jae</au><au>Jo, Seung-Bae</au><au>Kim, Tai-Won</au><au>Chang, Ji-Hoon</au><au>Choi, Heon-Sik</au><au>Oh, Kyung-Soo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A modified arthroscopic anterior cruciate ligament double-bundle reconstruction technique with autogenous quadriceps tendon graft: remnant-preserving technique</atitle><jtitle>Archives of orthopaedic and trauma surgery</jtitle><stitle>Arch Orthop Trauma Surg</stitle><addtitle>Arch Orthop Trauma Surg</addtitle><date>2009-03-01</date><risdate>2009</risdate><volume>129</volume><issue>3</issue><spage>403</spage><epage>407</epage><pages>403-407</pages><issn>0936-8051</issn><eissn>1434-3916</eissn><abstract>Several techniques of anterior cruciate ligament (ACL) double-bundle reconstruction have been introduced to improve the functional outcome and restore normal kinematics of the knee. Meanwhile, a remnant-preserving technique was developed to preserve the proprioception and to enhance the revascularization of the reconstructed ACL. We developed double-bundle ACL reconstruction technique using autogenous quadriceps tendon graft while preserving the remnant. With this technique, two femoral sockets and one tibial tunnel are made. To preserve the remnant of the ACL, the rotational direction of the reamer was set to counterclockwise just before perforation of the tibial tunnel. To pass the graft more easily without disturbance of the remnant, the graft passage was achieved through the tibial tunnel. 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subjects | Anterior Cruciate Ligament - surgery Anterior Cruciate Ligament Injuries Arthroscopy - methods Arthroscopy and Sports Medicine Female Humans Knee Knee Joint - surgery Male Medicine Medicine & Public Health Orthopedics Quadriceps Muscle - transplantation Reconstructive Surgical Procedures - methods Suture Techniques Tendons - transplantation Transplantation, Autologous |
title | A modified arthroscopic anterior cruciate ligament double-bundle reconstruction technique with autogenous quadriceps tendon graft: remnant-preserving technique |
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