Bone Tunnel Enlargement After Anterior Cruciate Ligament Replacement
Radiographic increase in the size of tibial and femoral tunnels has been observed. This retrospective study compared tibial tunnel diameter in 56 autograft and 87 allograft patellar tendon bone-tendon-bone anterior cru ciate ligament replacements whose observed tunnel changes were correlated with cl...
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| Veröffentlicht in: | American journal of sports medicine 1994-05, Vol.22 (3), p.410-414 |
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| creator | Fahey, Mark Indelicato, Peter A. |
| description | Radiographic increase in the size of tibial and femoral tunnels has been observed. This retrospective study compared tibial
tunnel diameter in 56 autograft and 87 allograft patellar tendon bone-tendon-bone anterior cru ciate ligament replacements
whose observed tunnel changes were correlated with clinical results at 1 year postoperatively. Tibial tunnel sclerotic margins
were measured approximately 1 cm below the joint line. Ex act tunnel dimension was calculated by using a mag nification factor
determined by the interference screw of known diameter within the same tunnel. Average al lograft tunnel enlargement was 1.2
mm (-2.5 to 6.0) compared with the autograft tunnel enlargement of 0.26 mm (-2.5 to 2.7); the difference was significant (P>
0.0002). No significant difference was seen in KT-1000 arthrometer measurements between autograft or allograft groups, and
no correlation was seen be tween increased tunnel size and clinical outcome as determined by the modified Hughston knee evaluation
system. Tunnel measurement reproducibility was con firmed by independent repeated measurements. The significance of this tunnel
enlargement is unknown and does not appear to adversely affect clinical outcome of allograft utilization. Possible explanations
include an immune response with resorption, stress shielding proximal to the interference screw resulting in resorp tion,
or an inflammatory response by synovium in the tunnel. |
| doi_str_mv | 10.1177/036354659402200318 |
| format | Article |
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tunnel diameter in 56 autograft and 87 allograft patellar tendon bone-tendon-bone anterior cru ciate ligament replacements
whose observed tunnel changes were correlated with clinical results at 1 year postoperatively. Tibial tunnel sclerotic margins
were measured approximately 1 cm below the joint line. Ex act tunnel dimension was calculated by using a mag nification factor
determined by the interference screw of known diameter within the same tunnel. Average al lograft tunnel enlargement was 1.2
mm (-2.5 to 6.0) compared with the autograft tunnel enlargement of 0.26 mm (-2.5 to 2.7); the difference was significant (P>
0.0002). No significant difference was seen in KT-1000 arthrometer measurements between autograft or allograft groups, and
no correlation was seen be tween increased tunnel size and clinical outcome as determined by the modified Hughston knee evaluation
system. Tunnel measurement reproducibility was con firmed by independent repeated measurements. The significance of this tunnel
enlargement is unknown and does not appear to adversely affect clinical outcome of allograft utilization. Possible explanations
include an immune response with resorption, stress shielding proximal to the interference screw resulting in resorp tion,
or an inflammatory response by synovium in the tunnel.</description><identifier>ISSN: 0363-5465</identifier><identifier>EISSN: 1552-3365</identifier><identifier>DOI: 10.1177/036354659402200318</identifier><identifier>PMID: 8037283</identifier><identifier>CODEN: AJSMDO</identifier><language>eng</language><publisher>Waltham, MA: American Orthopaedic Society for Sports Medicine</publisher><subject>Adolescent ; Adult ; Anterior cruciate ligament ; Anterior Cruciate Ligament - surgery ; Biological and medical sciences ; Bone Diseases - diagnostic imaging ; Bone Diseases - etiology ; Bone Screws ; Complications ; Diseases of the osteoarticular system ; Evaluation Studies as Topic ; Female ; Femur - diagnostic imaging ; Femur - surgery ; Follow-Up Studies ; Humans ; Knee ; Knee Joint - physiology ; Male ; Medical research ; Medical sciences ; Middle Aged ; Miscellaneous. Osteoarticular involvement in other diseases ; Organ transplantation ; Patellar Ligament - physiology ; Patellar Ligament - transplantation ; Radiography ; Range of Motion, Articular ; Retrospective Studies ; Sclerosis ; Sports medicine ; Surgery ; Tendon transplantation ; Tendons ; Tibia - diagnostic imaging ; Tibia - surgery ; Tissue Preservation ; Tissue transplantation ; Transplantation ; Transplantation of organs, tissues, etc ; Transplantation, Autologous ; Transplantation, Homologous</subject><ispartof>American journal of sports medicine, 1994-05, Vol.22 (3), p.410-414</ispartof><rights>1995 INIST-CNRS</rights><rights>Copyright American Journal of Sports Medicine May 1994</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c589t-a4d368748078ec821f367d47e1f2de954f8f23708de6dab2d282b3b81be749523</citedby><cites>FETCH-LOGICAL-c589t-a4d368748078ec821f367d47e1f2de954f8f23708de6dab2d282b3b81be749523</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/036354659402200318$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/036354659402200318$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>309,310,314,776,780,785,786,21798,23909,23910,25118,27901,27902,43597,43598</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3319381$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8037283$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fahey, Mark</creatorcontrib><creatorcontrib>Indelicato, Peter A.</creatorcontrib><title>Bone Tunnel Enlargement After Anterior Cruciate Ligament Replacement</title><title>American journal of sports medicine</title><addtitle>Am J Sports Med</addtitle><description>Radiographic increase in the size of tibial and femoral tunnels has been observed. This retrospective study compared tibial
tunnel diameter in 56 autograft and 87 allograft patellar tendon bone-tendon-bone anterior cru ciate ligament replacements
whose observed tunnel changes were correlated with clinical results at 1 year postoperatively. Tibial tunnel sclerotic margins
were measured approximately 1 cm below the joint line. Ex act tunnel dimension was calculated by using a mag nification factor
determined by the interference screw of known diameter within the same tunnel. Average al lograft tunnel enlargement was 1.2
mm (-2.5 to 6.0) compared with the autograft tunnel enlargement of 0.26 mm (-2.5 to 2.7); the difference was significant (P>
0.0002). No significant difference was seen in KT-1000 arthrometer measurements between autograft or allograft groups, and
no correlation was seen be tween increased tunnel size and clinical outcome as determined by the modified Hughston knee evaluation
system. Tunnel measurement reproducibility was con firmed by independent repeated measurements. The significance of this tunnel
enlargement is unknown and does not appear to adversely affect clinical outcome of allograft utilization. Possible explanations
include an immune response with resorption, stress shielding proximal to the interference screw resulting in resorp tion,
or an inflammatory response by synovium in the tunnel.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Anterior cruciate ligament</subject><subject>Anterior Cruciate Ligament - surgery</subject><subject>Biological and medical sciences</subject><subject>Bone Diseases - diagnostic imaging</subject><subject>Bone Diseases - etiology</subject><subject>Bone Screws</subject><subject>Complications</subject><subject>Diseases of the osteoarticular system</subject><subject>Evaluation Studies as Topic</subject><subject>Female</subject><subject>Femur - diagnostic imaging</subject><subject>Femur - surgery</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Knee</subject><subject>Knee Joint - physiology</subject><subject>Male</subject><subject>Medical research</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous. Osteoarticular involvement in other diseases</subject><subject>Organ transplantation</subject><subject>Patellar Ligament - physiology</subject><subject>Patellar Ligament - transplantation</subject><subject>Radiography</subject><subject>Range of Motion, Articular</subject><subject>Retrospective Studies</subject><subject>Sclerosis</subject><subject>Sports medicine</subject><subject>Surgery</subject><subject>Tendon transplantation</subject><subject>Tendons</subject><subject>Tibia - diagnostic imaging</subject><subject>Tibia - surgery</subject><subject>Tissue Preservation</subject><subject>Tissue transplantation</subject><subject>Transplantation</subject><subject>Transplantation of organs, tissues, etc</subject><subject>Transplantation, Autologous</subject><subject>Transplantation, Homologous</subject><issn>0363-5465</issn><issn>1552-3365</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0Utv1DAQAGALgcq28AeQkCJUOBHqt53jsi0PaaVKqJwtx5mkWTnOYicC_j3eZrUHkOjFPsw39jwQekXwB0KUusJMMsGlqDimFGNG9BO0IkLQkjEpnqLVAZQH8Rydp7TDGBMl9Rk605gpqtkKXX8cAxR3cwjgi5vgbexggDAV63aCWKxDPvsxFps4u95OUGz7zj6Ab7D31j3gF-hZa32Cl8f7An3_dHO3-VJubz9_3ay3pRO6mkrLGya14horDU5T0jKpGq6AtLSBSvBWt5QprBuQja1pQzWtWa1JDYpXgrIL9G55dx_HHzOkyQx9cuC9DTDOySgpsZT6cZiHpZSi1aOQaFVhSXGGb_6Cu3GOIXdrKFFYEixFRu8X1FkPpg9uzOP7NbnRe-jA5Flsbs2aCM5FRWXmdOEujilFaM0-9oONvw3B5rBg8--Cc9LrYyFzPUBzSjluNMcvj3GbnPVttMH16cQYIxXTJLOrhSWbKzv18t-P3y4Z9313_7OPYNJgvc9lMGN3iVLDDCeY_QExP8N4</recordid><startdate>19940501</startdate><enddate>19940501</enddate><creator>Fahey, Mark</creator><creator>Indelicato, Peter A.</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>7QP</scope><scope>7X8</scope></search><sort><creationdate>19940501</creationdate><title>Bone Tunnel Enlargement After Anterior Cruciate Ligament Replacement</title><author>Fahey, Mark ; Indelicato, Peter A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c589t-a4d368748078ec821f367d47e1f2de954f8f23708de6dab2d282b3b81be749523</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1994</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Anterior cruciate ligament</topic><topic>Anterior Cruciate Ligament - surgery</topic><topic>Biological and medical sciences</topic><topic>Bone Diseases - diagnostic imaging</topic><topic>Bone Diseases - etiology</topic><topic>Bone Screws</topic><topic>Complications</topic><topic>Diseases of the osteoarticular system</topic><topic>Evaluation Studies as Topic</topic><topic>Female</topic><topic>Femur - diagnostic imaging</topic><topic>Femur - surgery</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Knee</topic><topic>Knee Joint - physiology</topic><topic>Male</topic><topic>Medical research</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miscellaneous. Osteoarticular involvement in other diseases</topic><topic>Organ transplantation</topic><topic>Patellar Ligament - physiology</topic><topic>Patellar Ligament - transplantation</topic><topic>Radiography</topic><topic>Range of Motion, Articular</topic><topic>Retrospective Studies</topic><topic>Sclerosis</topic><topic>Sports medicine</topic><topic>Surgery</topic><topic>Tendon transplantation</topic><topic>Tendons</topic><topic>Tibia - diagnostic imaging</topic><topic>Tibia - surgery</topic><topic>Tissue Preservation</topic><topic>Tissue transplantation</topic><topic>Transplantation</topic><topic>Transplantation of organs, tissues, etc</topic><topic>Transplantation, Autologous</topic><topic>Transplantation, Homologous</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fahey, Mark</creatorcontrib><creatorcontrib>Indelicato, Peter A.</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>Calcium & Calcified Tissue Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of sports medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fahey, Mark</au><au>Indelicato, Peter A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bone Tunnel Enlargement After Anterior Cruciate Ligament Replacement</atitle><jtitle>American journal of sports medicine</jtitle><addtitle>Am J Sports Med</addtitle><date>1994-05-01</date><risdate>1994</risdate><volume>22</volume><issue>3</issue><spage>410</spage><epage>414</epage><pages>410-414</pages><issn>0363-5465</issn><eissn>1552-3365</eissn><coden>AJSMDO</coden><abstract>Radiographic increase in the size of tibial and femoral tunnels has been observed. This retrospective study compared tibial
tunnel diameter in 56 autograft and 87 allograft patellar tendon bone-tendon-bone anterior cru ciate ligament replacements
whose observed tunnel changes were correlated with clinical results at 1 year postoperatively. Tibial tunnel sclerotic margins
were measured approximately 1 cm below the joint line. Ex act tunnel dimension was calculated by using a mag nification factor
determined by the interference screw of known diameter within the same tunnel. Average al lograft tunnel enlargement was 1.2
mm (-2.5 to 6.0) compared with the autograft tunnel enlargement of 0.26 mm (-2.5 to 2.7); the difference was significant (P>
0.0002). No significant difference was seen in KT-1000 arthrometer measurements between autograft or allograft groups, and
no correlation was seen be tween increased tunnel size and clinical outcome as determined by the modified Hughston knee evaluation
system. Tunnel measurement reproducibility was con firmed by independent repeated measurements. The significance of this tunnel
enlargement is unknown and does not appear to adversely affect clinical outcome of allograft utilization. Possible explanations
include an immune response with resorption, stress shielding proximal to the interference screw resulting in resorp tion,
or an inflammatory response by synovium in the tunnel.</abstract><cop>Waltham, MA</cop><pub>American Orthopaedic Society for Sports Medicine</pub><pmid>8037283</pmid><doi>10.1177/036354659402200318</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0363-5465 |
| ispartof | American journal of sports medicine, 1994-05, Vol.22 (3), p.410-414 |
| issn | 0363-5465 1552-3365 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_76606682 |
| source | SAGE Complete A-Z List; MEDLINE; Alma/SFX Local Collection |
| subjects | Adolescent Adult Anterior cruciate ligament Anterior Cruciate Ligament - surgery Biological and medical sciences Bone Diseases - diagnostic imaging Bone Diseases - etiology Bone Screws Complications Diseases of the osteoarticular system Evaluation Studies as Topic Female Femur - diagnostic imaging Femur - surgery Follow-Up Studies Humans Knee Knee Joint - physiology Male Medical research Medical sciences Middle Aged Miscellaneous. Osteoarticular involvement in other diseases Organ transplantation Patellar Ligament - physiology Patellar Ligament - transplantation Radiography Range of Motion, Articular Retrospective Studies Sclerosis Sports medicine Surgery Tendon transplantation Tendons Tibia - diagnostic imaging Tibia - surgery Tissue Preservation Tissue transplantation Transplantation Transplantation of organs, tissues, etc Transplantation, Autologous Transplantation, Homologous |
| title | Bone Tunnel Enlargement After Anterior Cruciate Ligament Replacement |
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