Anatomic reconstruction of the anteromedial and posterolateral bundles of the anterior cruciate ligament using hamstring tendon grafts
Purpose: To develop and evaluate an anatomic reconstruction procedure of the posterolateral and anteromedial bundles of the anterior cruciate ligament (ACL). Type of study: Anatomic study and case series. Methods: The femoral attachment of the anteromedial and posterolateral bundles of the ACL was a...
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| Veröffentlicht in: | Arthroscopy 2004-12, Vol.20 (10), p.1015-1025 |
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| creator | Yasuda, Kazunori Kondo, Eiji Ichiyama, Hiroki Kitamura, Nobuto Tanabe, Yoshie Tohyama, Harukazu Minami, Akio |
| description | Purpose: To develop and evaluate an anatomic reconstruction procedure of the posterolateral and anteromedial bundles of the anterior cruciate ligament (ACL).
Type of study: Anatomic study and case series.
Methods: The femoral attachment of the anteromedial and posterolateral bundles of the ACL was anatomically analyzed with 5 cadaveric knees. Using another 3 cadaveric knees, anatomic reconstruction of the posterolateral and anteromedial bundles was performed with the transtibial technique, and tunnel positioning and graft function in a range of knee motion was observed. Based on this anatomic study, an anatomic reconstruction procedure of the anteromedial and posterolateral bundles was developed using hamstring tendon autografts. This procedure was carried out in 57 consecutive patients with an ACL-deficient knee. The patients were followed-up for a minimum of 24 months.
Results: We developed the arthroscopically assisted anatomic reconstruction procedure of the posterolateral and anteromedial bundles, involving a new method of creating the tibial and femoral tunnels for the posterolateral bundle. To visualize the femoral attachment of the posterolateral bundle, the medial infrapatellar portal was more useful than the lateral portal. In clinical results, the side-to-side difference of anterior laxity averaged 1.0 mm with a standard deviation of 0.9.
Conclusions: The anatomic reconstruction of the anteromedial and posterolateral bundles using hamstring tendon autografts is clinically practical in the treatment for the ACL-deficient knee.
Level of evidence: Level IV. |
| doi_str_mv | 10.1016/j.arthro.2004.08.010 |
| format | Article |
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Type of study: Anatomic study and case series.
Methods: The femoral attachment of the anteromedial and posterolateral bundles of the ACL was anatomically analyzed with 5 cadaveric knees. Using another 3 cadaveric knees, anatomic reconstruction of the posterolateral and anteromedial bundles was performed with the transtibial technique, and tunnel positioning and graft function in a range of knee motion was observed. Based on this anatomic study, an anatomic reconstruction procedure of the anteromedial and posterolateral bundles was developed using hamstring tendon autografts. This procedure was carried out in 57 consecutive patients with an ACL-deficient knee. The patients were followed-up for a minimum of 24 months.
Results: We developed the arthroscopically assisted anatomic reconstruction procedure of the posterolateral and anteromedial bundles, involving a new method of creating the tibial and femoral tunnels for the posterolateral bundle. To visualize the femoral attachment of the posterolateral bundle, the medial infrapatellar portal was more useful than the lateral portal. In clinical results, the side-to-side difference of anterior laxity averaged 1.0 mm with a standard deviation of 0.9.
Conclusions: The anatomic reconstruction of the anteromedial and posterolateral bundles using hamstring tendon autografts is clinically practical in the treatment for the ACL-deficient knee.
Level of evidence: Level IV.</description><identifier>ISSN: 0749-8063</identifier><identifier>EISSN: 1526-3231</identifier><identifier>DOI: 10.1016/j.arthro.2004.08.010</identifier><identifier>PMID: 15592229</identifier><identifier>CODEN: ARTHE3</identifier><language>eng</language><publisher>Philadelphia, PA: Elsevier Inc</publisher><subject>Adult ; Anatomic study ; Anterior Cruciate Ligament - surgery ; Anterior Cruciate Ligament Injuries ; Anterior cruciate ligament reconstruction ; Arthroscopy ; Arthroscopy - methods ; Biological and medical sciences ; Cadaver ; Endoscopy ; Female ; Follow-Up Studies ; Hamstring tendon autograft ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Knee Joint ; Male ; Medical sciences ; Orthopedic Procedures - methods ; Orthopedic surgery ; Posterolateral bundle ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Tendons - transplantation ; Two-bundle procedure</subject><ispartof>Arthroscopy, 2004-12, Vol.20 (10), p.1015-1025</ispartof><rights>2004 Arthroscopy Association of North America</rights><rights>2005 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c456t-9bb2702fabc421a8011f466bf52e91106b5865e833511e83f7b2f3f2325047213</citedby><cites>FETCH-LOGICAL-c456t-9bb2702fabc421a8011f466bf52e91106b5865e833511e83f7b2f3f2325047213</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0749806304008515$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16332766$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15592229$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yasuda, Kazunori</creatorcontrib><creatorcontrib>Kondo, Eiji</creatorcontrib><creatorcontrib>Ichiyama, Hiroki</creatorcontrib><creatorcontrib>Kitamura, Nobuto</creatorcontrib><creatorcontrib>Tanabe, Yoshie</creatorcontrib><creatorcontrib>Tohyama, Harukazu</creatorcontrib><creatorcontrib>Minami, Akio</creatorcontrib><title>Anatomic reconstruction of the anteromedial and posterolateral bundles of the anterior cruciate ligament using hamstring tendon grafts</title><title>Arthroscopy</title><addtitle>Arthroscopy</addtitle><description>Purpose: To develop and evaluate an anatomic reconstruction procedure of the posterolateral and anteromedial bundles of the anterior cruciate ligament (ACL).
Type of study: Anatomic study and case series.
Methods: The femoral attachment of the anteromedial and posterolateral bundles of the ACL was anatomically analyzed with 5 cadaveric knees. Using another 3 cadaveric knees, anatomic reconstruction of the posterolateral and anteromedial bundles was performed with the transtibial technique, and tunnel positioning and graft function in a range of knee motion was observed. Based on this anatomic study, an anatomic reconstruction procedure of the anteromedial and posterolateral bundles was developed using hamstring tendon autografts. This procedure was carried out in 57 consecutive patients with an ACL-deficient knee. The patients were followed-up for a minimum of 24 months.
Results: We developed the arthroscopically assisted anatomic reconstruction procedure of the posterolateral and anteromedial bundles, involving a new method of creating the tibial and femoral tunnels for the posterolateral bundle. To visualize the femoral attachment of the posterolateral bundle, the medial infrapatellar portal was more useful than the lateral portal. In clinical results, the side-to-side difference of anterior laxity averaged 1.0 mm with a standard deviation of 0.9.
Conclusions: The anatomic reconstruction of the anteromedial and posterolateral bundles using hamstring tendon autografts is clinically practical in the treatment for the ACL-deficient knee.
Level of evidence: Level IV.</description><subject>Adult</subject><subject>Anatomic study</subject><subject>Anterior Cruciate Ligament - surgery</subject><subject>Anterior Cruciate Ligament Injuries</subject><subject>Anterior cruciate ligament reconstruction</subject><subject>Arthroscopy</subject><subject>Arthroscopy - methods</subject><subject>Biological and medical sciences</subject><subject>Cadaver</subject><subject>Endoscopy</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hamstring tendon autograft</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Knee Joint</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Orthopedic Procedures - methods</subject><subject>Orthopedic surgery</subject><subject>Posterolateral bundle</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Tendons - transplantation</subject><subject>Two-bundle procedure</subject><issn>0749-8063</issn><issn>1526-3231</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc1q3DAQgEVpaLabvkEpurQ3OyPJlu1LIYS2CQR6ac5ClqVdLba0leRCX6DP3Vl2IfRSEPoZvpkR3xDynkHNgMnbQ61T2adYc4Cmhr4GBq_IhrVcVoIL9ppsoGuGqgcprsnbnA8AIEQv3pBr1rYD53zYkD93QZe4eEOTNTHkklZTfAw0Olr2lupQbIqLnbye8THRY8ynyKxxx9C4hmm2-R_cx0QN1vHI0Nnv9GJDoWv2YUf3esEep1uxYcI-u6RdyTfkyuk523eXc0uev375cf9QPX3_9nh_91SZppWlGsaRd8CdHk3Dme6BMddIObqW24ExkGPby9b2QrSM4eG6kTvhuOAtNB1nYks-neseU_y52lzU4rOx86yDjWtWsmO4UN-WNGfQpJhzsk4dk190-q0YqJN_dVBn_-rkX0Gv0D-mfbjUX0eU9pJ0EY7Axwugs9GzSzoYn184KQTvpETu85mzaOOXt0ll420wOAgcVFFT9P__yV_-LKgS</recordid><startdate>20041201</startdate><enddate>20041201</enddate><creator>Yasuda, Kazunori</creator><creator>Kondo, Eiji</creator><creator>Ichiyama, Hiroki</creator><creator>Kitamura, Nobuto</creator><creator>Tanabe, Yoshie</creator><creator>Tohyama, Harukazu</creator><creator>Minami, Akio</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><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>7X8</scope></search><sort><creationdate>20041201</creationdate><title>Anatomic reconstruction of the anteromedial and posterolateral bundles of the anterior cruciate ligament using hamstring tendon grafts</title><author>Yasuda, Kazunori ; Kondo, Eiji ; Ichiyama, Hiroki ; Kitamura, Nobuto ; Tanabe, Yoshie ; Tohyama, Harukazu ; Minami, Akio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c456t-9bb2702fabc421a8011f466bf52e91106b5865e833511e83f7b2f3f2325047213</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adult</topic><topic>Anatomic study</topic><topic>Anterior Cruciate Ligament - surgery</topic><topic>Anterior Cruciate Ligament Injuries</topic><topic>Anterior cruciate ligament reconstruction</topic><topic>Arthroscopy</topic><topic>Arthroscopy - methods</topic><topic>Biological and medical sciences</topic><topic>Cadaver</topic><topic>Endoscopy</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hamstring tendon autograft</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Knee Joint</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Orthopedic Procedures - methods</topic><topic>Orthopedic surgery</topic><topic>Posterolateral bundle</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Tendons - transplantation</topic><topic>Two-bundle procedure</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yasuda, Kazunori</creatorcontrib><creatorcontrib>Kondo, Eiji</creatorcontrib><creatorcontrib>Ichiyama, Hiroki</creatorcontrib><creatorcontrib>Kitamura, Nobuto</creatorcontrib><creatorcontrib>Tanabe, Yoshie</creatorcontrib><creatorcontrib>Tohyama, Harukazu</creatorcontrib><creatorcontrib>Minami, Akio</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Arthroscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yasuda, Kazunori</au><au>Kondo, Eiji</au><au>Ichiyama, Hiroki</au><au>Kitamura, Nobuto</au><au>Tanabe, Yoshie</au><au>Tohyama, Harukazu</au><au>Minami, Akio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anatomic reconstruction of the anteromedial and posterolateral bundles of the anterior cruciate ligament using hamstring tendon grafts</atitle><jtitle>Arthroscopy</jtitle><addtitle>Arthroscopy</addtitle><date>2004-12-01</date><risdate>2004</risdate><volume>20</volume><issue>10</issue><spage>1015</spage><epage>1025</epage><pages>1015-1025</pages><issn>0749-8063</issn><eissn>1526-3231</eissn><coden>ARTHE3</coden><abstract>Purpose: To develop and evaluate an anatomic reconstruction procedure of the posterolateral and anteromedial bundles of the anterior cruciate ligament (ACL).
Type of study: Anatomic study and case series.
Methods: The femoral attachment of the anteromedial and posterolateral bundles of the ACL was anatomically analyzed with 5 cadaveric knees. Using another 3 cadaveric knees, anatomic reconstruction of the posterolateral and anteromedial bundles was performed with the transtibial technique, and tunnel positioning and graft function in a range of knee motion was observed. Based on this anatomic study, an anatomic reconstruction procedure of the anteromedial and posterolateral bundles was developed using hamstring tendon autografts. This procedure was carried out in 57 consecutive patients with an ACL-deficient knee. The patients were followed-up for a minimum of 24 months.
Results: We developed the arthroscopically assisted anatomic reconstruction procedure of the posterolateral and anteromedial bundles, involving a new method of creating the tibial and femoral tunnels for the posterolateral bundle. To visualize the femoral attachment of the posterolateral bundle, the medial infrapatellar portal was more useful than the lateral portal. In clinical results, the side-to-side difference of anterior laxity averaged 1.0 mm with a standard deviation of 0.9.
Conclusions: The anatomic reconstruction of the anteromedial and posterolateral bundles using hamstring tendon autografts is clinically practical in the treatment for the ACL-deficient knee.
Level of evidence: Level IV.</abstract><cop>Philadelphia, PA</cop><pub>Elsevier Inc</pub><pmid>15592229</pmid><doi>10.1016/j.arthro.2004.08.010</doi><tpages>11</tpages></addata></record> |
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| subjects | Adult Anatomic study Anterior Cruciate Ligament - surgery Anterior Cruciate Ligament Injuries Anterior cruciate ligament reconstruction Arthroscopy Arthroscopy - methods Biological and medical sciences Cadaver Endoscopy Female Follow-Up Studies Hamstring tendon autograft Humans Investigative techniques, diagnostic techniques (general aspects) Knee Joint Male Medical sciences Orthopedic Procedures - methods Orthopedic surgery Posterolateral bundle Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Tendons - transplantation Two-bundle procedure |
| title | Anatomic reconstruction of the anteromedial and posterolateral bundles of the anterior cruciate ligament using hamstring tendon grafts |
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