The Effect of Graft-Tunnel Diameter Disparity on Intraosseous Healing of the Flexor Tendon Graft in Anterior Cruciate Ligament Reconstruction
Background: Graft-to-tunnel healing is a significant factor in anterior cruciate ligament reconstruction, but there have been few studies on the effect of graft-tunnel diameter disparity on intraosseous healing of the flexor tendon graft. Hypothesis: Graft-tunnel diameter disparity of 2 mm has no ef...
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| Veröffentlicht in: | The American journal of sports medicine 2002-07, Vol.30 (4), p.498-505 |
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| creator | Yamazaki, Shuji Yasuda, Kazunori Tomita, Fumihisa Minami, Akio Tohyama, Harukazu |
| description | Background: Graft-to-tunnel healing is a significant factor in anterior cruciate ligament reconstruction, but there have been few studies
on the effect of graft-tunnel diameter disparity on intraosseous healing of the flexor tendon graft.
Hypothesis: Graft-tunnel diameter disparity of 2 mm has no effect on the pull-out strength of the graft from the bone tunnel.
Study Design: Controlled laboratory study.
Methods: Forty-two beagle dogs were divided into three groups. In each animal, reconstruction was performed in the left knee by using
a 4-mm diameter autogenous flexor tendon for groups 1 and 2 and by using a 4-mm wide bone-patellar tendon-bone graft in group
3. A 4-mm diameter tunnel was drilled in the tibia of groups 1 and 3 and a 6-mm diameter tunnel, in group 2. In each group,
seven animals were sacrificed at 3 and 6 weeks.
Results: The perpendicular fibers connecting the graft to the bone were generated in groups 1 and 2, and the number appeared to be
higher in group 2, where the space was greater. There was no significant difference in the ultimate failure load between groups
1 and 2 at each period.
Conclusion: Graft-tunnel diameter disparity of up to 2 mm may not adversely affect intraosseous healing of the flexor tendon graft.
Clinical Relevance: Surgeons need not be overly concerned about minor graft-tunnel diameter disparities. |
| doi_str_mv | 10.1177/03635465020300040901 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_71930165</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A90528579</galeid><sage_id>10.1177_03635465020300040901</sage_id><sourcerecordid>A90528579</sourcerecordid><originalsourceid>FETCH-LOGICAL-c566t-6cb4b5a996dad76b816b99642f130a1dc62af8a8ee2a25b8a59fb967d8cf24883</originalsourceid><addsrcrecordid>eNqFkl2LEzEUhgdR3Lr6D0SCoFeO5nsyl6XuFywsSL0OmcyZNiXN1CSDuz_C_2zGFhdE2Kt8Pe-b856kqt4S_JmQpvmCmWSCS4EpZhhjjltMnlULIgStGZPiebWYkXpmzqpXKe0KRRqpXlZnhBJWFHxR_VpvAV0MA9iMxgFdRTPkej2FAB59dWYPGWKZpIOJLj-gMaCbkKMZU4JxSugajHdhM0tzMbr0cD9GtIbQF_KPGXIBLUNxceVgFSfrTAZ06zbFO2T0DewYUi772Y3hdfViMD7Bm9N4Xn2_vFivruvbu6ub1fK2tkLKXEvb8U6YtpW96RvZKSK7suB0KLEM6a2kZlBGAVBDRaeMaIeulU2v7EC5Uuy8-nj0PcTxxwQp671LFrw3YY6lG9IyTKR4EiSKc9lIXMD3_4C7cYqhhNCUNLghlPECfTpCG-NBu1CiZ7jPdvQeNqBLxNWdXrZYUCWatuD8iNtY-h1h0Ifo9iY-aIL1_Af0__5Akb07lTJ1e-gfRadHL8CHE2CSNX6IJliXHjmmKBNi7hI5csmU6v7meeLyk_fWbbY_XQSd9sb7UgrTZpcY1lzzVrHfZxjTTQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>217071234</pqid></control><display><type>article</type><title>The Effect of Graft-Tunnel Diameter Disparity on Intraosseous Healing of the Flexor Tendon Graft in Anterior Cruciate Ligament Reconstruction</title><source>SAGE Publications</source><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>Yamazaki, Shuji ; Yasuda, Kazunori ; Tomita, Fumihisa ; Minami, Akio ; Tohyama, Harukazu</creator><creatorcontrib>Yamazaki, Shuji ; Yasuda, Kazunori ; Tomita, Fumihisa ; Minami, Akio ; Tohyama, Harukazu</creatorcontrib><description>Background: Graft-to-tunnel healing is a significant factor in anterior cruciate ligament reconstruction, but there have been few studies
on the effect of graft-tunnel diameter disparity on intraosseous healing of the flexor tendon graft.
Hypothesis: Graft-tunnel diameter disparity of 2 mm has no effect on the pull-out strength of the graft from the bone tunnel.
Study Design: Controlled laboratory study.
Methods: Forty-two beagle dogs were divided into three groups. In each animal, reconstruction was performed in the left knee by using
a 4-mm diameter autogenous flexor tendon for groups 1 and 2 and by using a 4-mm wide bone-patellar tendon-bone graft in group
3. A 4-mm diameter tunnel was drilled in the tibia of groups 1 and 3 and a 6-mm diameter tunnel, in group 2. In each group,
seven animals were sacrificed at 3 and 6 weeks.
Results: The perpendicular fibers connecting the graft to the bone were generated in groups 1 and 2, and the number appeared to be
higher in group 2, where the space was greater. There was no significant difference in the ultimate failure load between groups
1 and 2 at each period.
Conclusion: Graft-tunnel diameter disparity of up to 2 mm may not adversely affect intraosseous healing of the flexor tendon graft.
Clinical Relevance: Surgeons need not be overly concerned about minor graft-tunnel diameter disparities.</description><identifier>ISSN: 0363-5465</identifier><identifier>EISSN: 1552-3365</identifier><identifier>DOI: 10.1177/03635465020300040901</identifier><identifier>PMID: 12130404</identifier><identifier>CODEN: AJSMDO</identifier><language>eng</language><publisher>Los Angeles, CA: American Orthopaedic Society for Sports Medicine</publisher><subject>Animals ; Anterior cruciate ligament ; Anterior Cruciate Ligament - surgery ; Anterior Cruciate Ligament Injuries ; Biological and medical sciences ; Bones ; Care and treatment ; Dogs ; Hindlimb - surgery ; Medical sciences ; Orthopedic Procedures ; Orthopedic surgery ; Reconstructive Surgical Procedures ; Sports injuries ; Sports medicine ; Surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Tendon injuries ; Tendon transplantation ; Tendons ; Tendons - pathology ; Tendons - transplantation ; Tensile Strength ; Transplantation ; Wound Healing</subject><ispartof>The American journal of sports medicine, 2002-07, Vol.30 (4), p.498-505</ispartof><rights>2002 American Orthopaedic Society for Sports Medicine</rights><rights>2002 INIST-CNRS</rights><rights>Copyright American Journal of Sports Medicine Jul/Aug 2002</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c566t-6cb4b5a996dad76b816b99642f130a1dc62af8a8ee2a25b8a59fb967d8cf24883</citedby><cites>FETCH-LOGICAL-c566t-6cb4b5a996dad76b816b99642f130a1dc62af8a8ee2a25b8a59fb967d8cf24883</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/03635465020300040901$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/03635465020300040901$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,777,781,21800,27905,27906,43602,43603</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13823558$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12130404$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yamazaki, Shuji</creatorcontrib><creatorcontrib>Yasuda, Kazunori</creatorcontrib><creatorcontrib>Tomita, Fumihisa</creatorcontrib><creatorcontrib>Minami, Akio</creatorcontrib><creatorcontrib>Tohyama, Harukazu</creatorcontrib><title>The Effect of Graft-Tunnel Diameter Disparity on Intraosseous Healing of the Flexor Tendon Graft in Anterior Cruciate Ligament Reconstruction</title><title>The American journal of sports medicine</title><addtitle>Am J Sports Med</addtitle><description>Background: Graft-to-tunnel healing is a significant factor in anterior cruciate ligament reconstruction, but there have been few studies
on the effect of graft-tunnel diameter disparity on intraosseous healing of the flexor tendon graft.
Hypothesis: Graft-tunnel diameter disparity of 2 mm has no effect on the pull-out strength of the graft from the bone tunnel.
Study Design: Controlled laboratory study.
Methods: Forty-two beagle dogs were divided into three groups. In each animal, reconstruction was performed in the left knee by using
a 4-mm diameter autogenous flexor tendon for groups 1 and 2 and by using a 4-mm wide bone-patellar tendon-bone graft in group
3. A 4-mm diameter tunnel was drilled in the tibia of groups 1 and 3 and a 6-mm diameter tunnel, in group 2. In each group,
seven animals were sacrificed at 3 and 6 weeks.
Results: The perpendicular fibers connecting the graft to the bone were generated in groups 1 and 2, and the number appeared to be
higher in group 2, where the space was greater. There was no significant difference in the ultimate failure load between groups
1 and 2 at each period.
Conclusion: Graft-tunnel diameter disparity of up to 2 mm may not adversely affect intraosseous healing of the flexor tendon graft.
Clinical Relevance: Surgeons need not be overly concerned about minor graft-tunnel diameter disparities.</description><subject>Animals</subject><subject>Anterior cruciate ligament</subject><subject>Anterior Cruciate Ligament - surgery</subject><subject>Anterior Cruciate Ligament Injuries</subject><subject>Biological and medical sciences</subject><subject>Bones</subject><subject>Care and treatment</subject><subject>Dogs</subject><subject>Hindlimb - surgery</subject><subject>Medical sciences</subject><subject>Orthopedic Procedures</subject><subject>Orthopedic surgery</subject><subject>Reconstructive Surgical Procedures</subject><subject>Sports injuries</subject><subject>Sports medicine</subject><subject>Surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Tendon injuries</subject><subject>Tendon transplantation</subject><subject>Tendons</subject><subject>Tendons - pathology</subject><subject>Tendons - transplantation</subject><subject>Tensile Strength</subject><subject>Transplantation</subject><subject>Wound Healing</subject><issn>0363-5465</issn><issn>1552-3365</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkl2LEzEUhgdR3Lr6D0SCoFeO5nsyl6XuFywsSL0OmcyZNiXN1CSDuz_C_2zGFhdE2Kt8Pe-b856kqt4S_JmQpvmCmWSCS4EpZhhjjltMnlULIgStGZPiebWYkXpmzqpXKe0KRRqpXlZnhBJWFHxR_VpvAV0MA9iMxgFdRTPkej2FAB59dWYPGWKZpIOJLj-gMaCbkKMZU4JxSugajHdhM0tzMbr0cD9GtIbQF_KPGXIBLUNxceVgFSfrTAZ06zbFO2T0DewYUi772Y3hdfViMD7Bm9N4Xn2_vFivruvbu6ub1fK2tkLKXEvb8U6YtpW96RvZKSK7suB0KLEM6a2kZlBGAVBDRaeMaIeulU2v7EC5Uuy8-nj0PcTxxwQp671LFrw3YY6lG9IyTKR4EiSKc9lIXMD3_4C7cYqhhNCUNLghlPECfTpCG-NBu1CiZ7jPdvQeNqBLxNWdXrZYUCWatuD8iNtY-h1h0Ifo9iY-aIL1_Af0__5Akb07lTJ1e-gfRadHL8CHE2CSNX6IJliXHjmmKBNi7hI5csmU6v7meeLyk_fWbbY_XQSd9sb7UgrTZpcY1lzzVrHfZxjTTQ</recordid><startdate>20020701</startdate><enddate>20020701</enddate><creator>Yamazaki, Shuji</creator><creator>Yasuda, Kazunori</creator><creator>Tomita, Fumihisa</creator><creator>Minami, Akio</creator><creator>Tohyama, Harukazu</creator><general>American Orthopaedic Society for Sports Medicine</general><general>SAGE Publications</general><general>Sage Publications, Inc</general><general>Sage Publications Ltd</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>7TS</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>20020701</creationdate><title>The Effect of Graft-Tunnel Diameter Disparity on Intraosseous Healing of the Flexor Tendon Graft in Anterior Cruciate Ligament Reconstruction</title><author>Yamazaki, Shuji ; Yasuda, Kazunori ; Tomita, Fumihisa ; Minami, Akio ; Tohyama, Harukazu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c566t-6cb4b5a996dad76b816b99642f130a1dc62af8a8ee2a25b8a59fb967d8cf24883</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Animals</topic><topic>Anterior cruciate ligament</topic><topic>Anterior Cruciate Ligament - surgery</topic><topic>Anterior Cruciate Ligament Injuries</topic><topic>Biological and medical sciences</topic><topic>Bones</topic><topic>Care and treatment</topic><topic>Dogs</topic><topic>Hindlimb - surgery</topic><topic>Medical sciences</topic><topic>Orthopedic Procedures</topic><topic>Orthopedic surgery</topic><topic>Reconstructive Surgical Procedures</topic><topic>Sports injuries</topic><topic>Sports medicine</topic><topic>Surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Tendon injuries</topic><topic>Tendon transplantation</topic><topic>Tendons</topic><topic>Tendons - pathology</topic><topic>Tendons - transplantation</topic><topic>Tensile Strength</topic><topic>Transplantation</topic><topic>Wound Healing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yamazaki, Shuji</creatorcontrib><creatorcontrib>Yasuda, Kazunori</creatorcontrib><creatorcontrib>Tomita, Fumihisa</creatorcontrib><creatorcontrib>Minami, Akio</creatorcontrib><creatorcontrib>Tohyama, Harukazu</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>Physical Education Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of sports medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yamazaki, Shuji</au><au>Yasuda, Kazunori</au><au>Tomita, Fumihisa</au><au>Minami, Akio</au><au>Tohyama, Harukazu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Effect of Graft-Tunnel Diameter Disparity on Intraosseous Healing of the Flexor Tendon Graft in Anterior Cruciate Ligament Reconstruction</atitle><jtitle>The American journal of sports medicine</jtitle><addtitle>Am J Sports Med</addtitle><date>2002-07-01</date><risdate>2002</risdate><volume>30</volume><issue>4</issue><spage>498</spage><epage>505</epage><pages>498-505</pages><issn>0363-5465</issn><eissn>1552-3365</eissn><coden>AJSMDO</coden><abstract>Background: Graft-to-tunnel healing is a significant factor in anterior cruciate ligament reconstruction, but there have been few studies
on the effect of graft-tunnel diameter disparity on intraosseous healing of the flexor tendon graft.
Hypothesis: Graft-tunnel diameter disparity of 2 mm has no effect on the pull-out strength of the graft from the bone tunnel.
Study Design: Controlled laboratory study.
Methods: Forty-two beagle dogs were divided into three groups. In each animal, reconstruction was performed in the left knee by using
a 4-mm diameter autogenous flexor tendon for groups 1 and 2 and by using a 4-mm wide bone-patellar tendon-bone graft in group
3. A 4-mm diameter tunnel was drilled in the tibia of groups 1 and 3 and a 6-mm diameter tunnel, in group 2. In each group,
seven animals were sacrificed at 3 and 6 weeks.
Results: The perpendicular fibers connecting the graft to the bone were generated in groups 1 and 2, and the number appeared to be
higher in group 2, where the space was greater. There was no significant difference in the ultimate failure load between groups
1 and 2 at each period.
Conclusion: Graft-tunnel diameter disparity of up to 2 mm may not adversely affect intraosseous healing of the flexor tendon graft.
Clinical Relevance: Surgeons need not be overly concerned about minor graft-tunnel diameter disparities.</abstract><cop>Los Angeles, CA</cop><pub>American Orthopaedic Society for Sports Medicine</pub><pmid>12130404</pmid><doi>10.1177/03635465020300040901</doi><tpages>8</tpages></addata></record> |
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| ispartof | The American journal of sports medicine, 2002-07, Vol.30 (4), p.498-505 |
| issn | 0363-5465 1552-3365 |
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| source | SAGE Publications; MEDLINE; Alma/SFX Local Collection |
| subjects | Animals Anterior cruciate ligament Anterior Cruciate Ligament - surgery Anterior Cruciate Ligament Injuries Biological and medical sciences Bones Care and treatment Dogs Hindlimb - surgery Medical sciences Orthopedic Procedures Orthopedic surgery Reconstructive Surgical Procedures Sports injuries Sports medicine Surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Tendon injuries Tendon transplantation Tendons Tendons - pathology Tendons - transplantation Tensile Strength Transplantation Wound Healing |
| title | The Effect of Graft-Tunnel Diameter Disparity on Intraosseous Healing of the Flexor Tendon Graft in Anterior Cruciate Ligament Reconstruction |
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