The Effect of Femoral Tunnel Position and Graft Tensioning Technique on Posterior Laxity of the Posterior Cruciate Ligament-Reconstructed Knee
We report the effects of femoral tunnel position and graft tensioning technique on posterior laxity of the posterior cruciate ligament-reconstructed knee. An isometric femoral tunnel site was located using a specially de signed alignment jig. Additional femoral tunnel positions were located 5 mm pro...
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| Veröffentlicht in: | The American journal of sports medicine 1995-07, Vol.23 (4), p.424-430 |
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| creator | Burns, William C. Draganich, Louis F. Pyevich, Michael Reider, Bruce |
| description | We report the effects of femoral tunnel position and graft tensioning technique on posterior laxity of the posterior cruciate
ligament-reconstructed knee. An isometric femoral tunnel site was located using a specially de signed alignment jig. Additional
femoral tunnel positions were located 5 mm proximal and distal to the isometric femoral tunnel. With the graft in the proximal
femoral tunnel, graft tension decreased as the knee flexed; with the graft in the distal femoral tunnel, graft tension in
creased as the knee flexed. When the graft was placed in the isometric femoral tunnel, a nearly isometric graft tension was
maintained between 0° and 90° of knee flexion. One technique tested was tensioning the graft at 90° of knee flexion while
applying an anterior drawer force of 156 N to the tibia. This technique restored sta tistically normal posterior stability
to the posterior cru ciate ligament-deficient knee between 0° and 90° for the distal femoral tunnel position, between 0° and
75° for the isometric tunnel position, and between 0° and 45° for the proximal tunnel position. When the graft was tensioned
with the knee in full extension and without the application of an anterior drawer force, posterior trans lation of the reconstructed
knee was significantly dif ferent from that of the intact knee between 15° and 90° for all femoral tunnel positions. |
| doi_str_mv | 10.1177/036354659502300409 |
| format | Article |
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ligament-reconstructed knee. An isometric femoral tunnel site was located using a specially de signed alignment jig. Additional
femoral tunnel positions were located 5 mm proximal and distal to the isometric femoral tunnel. With the graft in the proximal
femoral tunnel, graft tension decreased as the knee flexed; with the graft in the distal femoral tunnel, graft tension in
creased as the knee flexed. When the graft was placed in the isometric femoral tunnel, a nearly isometric graft tension was
maintained between 0° and 90° of knee flexion. One technique tested was tensioning the graft at 90° of knee flexion while
applying an anterior drawer force of 156 N to the tibia. This technique restored sta tistically normal posterior stability
to the posterior cru ciate ligament-deficient knee between 0° and 90° for the distal femoral tunnel position, between 0° and
75° for the isometric tunnel position, and between 0° and 45° for the proximal tunnel position. When the graft was tensioned
with the knee in full extension and without the application of an anterior drawer force, posterior trans lation of the reconstructed
knee was significantly dif ferent from that of the intact knee between 15° and 90° for all femoral tunnel positions.</description><identifier>ISSN: 0363-5465</identifier><identifier>EISSN: 1552-3365</identifier><identifier>DOI: 10.1177/036354659502300409</identifier><identifier>PMID: 7573651</identifier><identifier>CODEN: AJSMDO</identifier><language>eng</language><publisher>Waltham, MA: American Orthopaedic Society for Sports Medicine</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Cadaver ; Cruciate ligaments ; Humans ; Joint Instability - prevention & control ; Knee ; Knee Joint ; Ligaments ; Medical sciences ; Middle Aged ; Orthopedic surgery ; Patellar Ligament - transplantation ; Physiological aspects ; Posterior Cruciate Ligament - surgery ; Postoperative Complications - prevention & control ; Range of Motion, Articular ; Sports medicine ; Stress, Mechanical ; Surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Transplants & implants</subject><ispartof>The American journal of sports medicine, 1995-07, Vol.23 (4), p.424-430</ispartof><rights>1995 INIST-CNRS</rights><rights>Copyright American Journal of Sports Medicine Jul 1995</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c662t-e08ad6b8c27f1bfa3fd12917d8937b3701ab70f5be4a236fff1e074474f230083</citedby><cites>FETCH-LOGICAL-c662t-e08ad6b8c27f1bfa3fd12917d8937b3701ab70f5be4a236fff1e074474f230083</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/036354659502300409$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/036354659502300409$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21798,27901,27902,43597,43598</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3616825$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7573651$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Burns, William C.</creatorcontrib><creatorcontrib>Draganich, Louis F.</creatorcontrib><creatorcontrib>Pyevich, Michael</creatorcontrib><creatorcontrib>Reider, Bruce</creatorcontrib><title>The Effect of Femoral Tunnel Position and Graft Tensioning Technique on Posterior Laxity of the Posterior Cruciate Ligament-Reconstructed Knee</title><title>The American journal of sports medicine</title><addtitle>Am J Sports Med</addtitle><description>We report the effects of femoral tunnel position and graft tensioning technique on posterior laxity of the posterior cruciate
ligament-reconstructed knee. An isometric femoral tunnel site was located using a specially de signed alignment jig. Additional
femoral tunnel positions were located 5 mm proximal and distal to the isometric femoral tunnel. With the graft in the proximal
femoral tunnel, graft tension decreased as the knee flexed; with the graft in the distal femoral tunnel, graft tension in
creased as the knee flexed. When the graft was placed in the isometric femoral tunnel, a nearly isometric graft tension was
maintained between 0° and 90° of knee flexion. One technique tested was tensioning the graft at 90° of knee flexion while
applying an anterior drawer force of 156 N to the tibia. This technique restored sta tistically normal posterior stability
to the posterior cru ciate ligament-deficient knee between 0° and 90° for the distal femoral tunnel position, between 0° and
75° for the isometric tunnel position, and between 0° and 45° for the proximal tunnel position. When the graft was tensioned
with the knee in full extension and without the application of an anterior drawer force, posterior trans lation of the reconstructed
knee was significantly dif ferent from that of the intact knee between 15° and 90° for all femoral tunnel positions.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Cadaver</subject><subject>Cruciate ligaments</subject><subject>Humans</subject><subject>Joint Instability - prevention & control</subject><subject>Knee</subject><subject>Knee Joint</subject><subject>Ligaments</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Orthopedic surgery</subject><subject>Patellar Ligament - transplantation</subject><subject>Physiological aspects</subject><subject>Posterior Cruciate Ligament - surgery</subject><subject>Postoperative Complications - prevention & control</subject><subject>Range of Motion, Articular</subject><subject>Sports medicine</subject><subject>Stress, Mechanical</subject><subject>Surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Transplants & implants</subject><issn>0363-5465</issn><issn>1552-3365</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkt9qFDEUxgdR6lp9AUEIUnvl2PyZJDOXZWmruFCR9TpkZk52s8wkNclg-xI-czPssoKCJRcJ5_zOl_MdTlG8JfgTIVJeYCYYrwRvOKYM4wo3z4oF4ZyWjAn-vFjMQDkTL4tXMe4wxkSK-qQ4kVxmgiyK3-stoCtjoEvIG3QNow96QOvJORjQNx9tst4h7Xp0E7RJaA0u5oh1m_zsts7-nABlIqMJgvUBrfS9TQ-zWsraf-LLMHVWJ0Aru9EjuFR-h867mHI8QY--OoDXxQujhwhvDvdp8eP6ar38XK5ub74sL1dlJwRNJeBa96KtOyoNaY1mpie0IbKvGyZbJjHRrcSGt1BpyoQxhgCWVSUrMw-qZqfF-V73LvhsICY12tjBMGgHfopKSt6IupZPghRj2TScPQmSumaY8lnx_V_gzk_BZbeKEok5r2SToY97aKMHUNblOSW4T50fBtiAyrNY3qpLIvOpmhmne7wLPsYARt0FO-rwoAhW86qof1clF707NDK1I_THksNu5PzZIa9jpwcTtOtsPGJMEFFTnrGLPRZ17uzo5b8ff9hXbO1m-8sGUHHUw5DbYErvImWqUhWt2CNFyd9P</recordid><startdate>19950701</startdate><enddate>19950701</enddate><creator>Burns, William C.</creator><creator>Draganich, Louis F.</creator><creator>Pyevich, Michael</creator><creator>Reider, Bruce</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>19950701</creationdate><title>The Effect of Femoral Tunnel Position and Graft Tensioning Technique on Posterior Laxity of the Posterior Cruciate Ligament-Reconstructed Knee</title><author>Burns, William C. ; Draganich, Louis F. ; Pyevich, Michael ; Reider, Bruce</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c662t-e08ad6b8c27f1bfa3fd12917d8937b3701ab70f5be4a236fff1e074474f230083</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1995</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Cadaver</topic><topic>Cruciate ligaments</topic><topic>Humans</topic><topic>Joint Instability - prevention & control</topic><topic>Knee</topic><topic>Knee Joint</topic><topic>Ligaments</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Orthopedic surgery</topic><topic>Patellar Ligament - transplantation</topic><topic>Physiological aspects</topic><topic>Posterior Cruciate Ligament - surgery</topic><topic>Postoperative Complications - prevention & control</topic><topic>Range of Motion, Articular</topic><topic>Sports medicine</topic><topic>Stress, Mechanical</topic><topic>Surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Transplants & implants</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Burns, William C.</creatorcontrib><creatorcontrib>Draganich, Louis F.</creatorcontrib><creatorcontrib>Pyevich, Michael</creatorcontrib><creatorcontrib>Reider, Bruce</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>Burns, William C.</au><au>Draganich, Louis F.</au><au>Pyevich, Michael</au><au>Reider, Bruce</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Effect of Femoral Tunnel Position and Graft Tensioning Technique on Posterior Laxity of the Posterior Cruciate Ligament-Reconstructed Knee</atitle><jtitle>The American journal of sports medicine</jtitle><addtitle>Am J Sports Med</addtitle><date>1995-07-01</date><risdate>1995</risdate><volume>23</volume><issue>4</issue><spage>424</spage><epage>430</epage><pages>424-430</pages><issn>0363-5465</issn><eissn>1552-3365</eissn><coden>AJSMDO</coden><abstract>We report the effects of femoral tunnel position and graft tensioning technique on posterior laxity of the posterior cruciate
ligament-reconstructed knee. An isometric femoral tunnel site was located using a specially de signed alignment jig. Additional
femoral tunnel positions were located 5 mm proximal and distal to the isometric femoral tunnel. With the graft in the proximal
femoral tunnel, graft tension decreased as the knee flexed; with the graft in the distal femoral tunnel, graft tension in
creased as the knee flexed. When the graft was placed in the isometric femoral tunnel, a nearly isometric graft tension was
maintained between 0° and 90° of knee flexion. One technique tested was tensioning the graft at 90° of knee flexion while
applying an anterior drawer force of 156 N to the tibia. This technique restored sta tistically normal posterior stability
to the posterior cru ciate ligament-deficient knee between 0° and 90° for the distal femoral tunnel position, between 0° and
75° for the isometric tunnel position, and between 0° and 45° for the proximal tunnel position. When the graft was tensioned
with the knee in full extension and without the application of an anterior drawer force, posterior trans lation of the reconstructed
knee was significantly dif ferent from that of the intact knee between 15° and 90° for all femoral tunnel positions.</abstract><cop>Waltham, MA</cop><pub>American Orthopaedic Society for Sports Medicine</pub><pmid>7573651</pmid><doi>10.1177/036354659502300409</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | The American journal of sports medicine, 1995-07, Vol.23 (4), p.424-430 |
| issn | 0363-5465 1552-3365 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_77596887 |
| source | SAGE Complete A-Z List; MEDLINE; Alma/SFX Local Collection |
| subjects | Adult Aged Biological and medical sciences Cadaver Cruciate ligaments Humans Joint Instability - prevention & control Knee Knee Joint Ligaments Medical sciences Middle Aged Orthopedic surgery Patellar Ligament - transplantation Physiological aspects Posterior Cruciate Ligament - surgery Postoperative Complications - prevention & control Range of Motion, Articular Sports medicine Stress, Mechanical Surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Transplants & implants |
| title | The Effect of Femoral Tunnel Position and Graft Tensioning Technique on Posterior Laxity of the Posterior Cruciate Ligament-Reconstructed Knee |
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