Ideal Combination of Anatomic Tibial and Femoral Tunnel Positions for Single-Bundle ACL Reconstruction
Background: Anatomic anterior cruciate ligament reconstruction (ACLR) is preferred over nonanatomic ACLR. However, there is no consensus on which point the tunnels should be positioned among the broad anatomic footprints. Purpose/Hypothesis: To identify the ideal combination of tibial and femoral tu...
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| Veröffentlicht in: | Orthopaedic journal of sports medicine 2022-01, Vol.10 (1), p.23259671211069960-23259671211069960 |
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| creator | Yoon, Kyoung Ho Kim, Yoon-Seok Park, Jae-Young Kim, Sang-Gyun Lee, Jong-Hwan Choi, Sun Hwan Kim, Sang Jin |
| description | Background:
Anatomic anterior cruciate ligament reconstruction (ACLR) is preferred over nonanatomic ACLR. However, there is no consensus on which point the tunnels should be positioned among the broad anatomic footprints.
Purpose/Hypothesis:
To identify the ideal combination of tibial and femoral tunnel positions according to the femoral and tibial footprints of the anteromedial (AM) and posterolateral (PL) anterior cruciate ligament bundles. It was hypothesized that patients with anteromedially positioned tunnels would have better clinical scores, knee joint stability, and graft signal intensity on follow-up magnetic resonance imaging (MRI) than those with posterolaterally positioned tunnels.
Study Design:
Cohort study; Level of evidence, 3.
Methods:
A total of 119 patients who underwent isolated single-bundle ACLR with a hamstring autograft from July 2013 to September 2018 were retrospectively investigated. Included were patients with clinical scores and knee joint stability test results at 2-year follow-up and postoperative 3-dimensional computed tomography and 1-year postoperative MRI findings. The cohort was divided into 4 groups, named according to the bundle positions in the tibial and femoral tunnels: AM-AM (n = 33), AM-PL (n = 26), PL-AM (n = 29), and PL-PL (n = 31).
Results:
There were no statistically significant differences among the 4 groups in preoperative demographic data or postoperative clinical scores (Lysholm, Tegner, and International Knee Documentation Committee subjective scores); knee joint stability (anterior drawer, Lachman, and pivot-shift tests and Telos stress radiographic measurement of the side-to-side difference in anterior tibial translation); graft signal intensity on follow-up MRI; or graft failure.
Conclusion:
No significant differences in clinical scores, knee joint stability, or graft signal intensity on follow-up MRI were identified between the patients with anteromedially and posterolaterally positioned tunnels. |
| doi_str_mv | 10.1177/23259671211069960 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8777344</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_23259671211069960</sage_id><sourcerecordid>2624602365</sourcerecordid><originalsourceid>FETCH-LOGICAL-c466t-159bdcf27e9880ed61d7607b8940db8b4a8c6be9bf65fc9277e44c63b574fad53</originalsourceid><addsrcrecordid>eNp1kV1rFTEQhoMottT-AG8k4I03W5NsNtm9EY4Hq4UDih6vQz4mx5TdpCa7Bf-9WU6tVTE3GeZ95p0ZBqHnlFxQKuVr1rJuEJIySokYBkEeodM116zJxw_iE3ReyjWpr-_o0Mqn6KTtiKRC0FPkrxzoEW_TZELUc0gRJ483NUxTsHgfTKiyjg5fwpRyjfdLjDDiT6mEFS_Yp4y_hHgYoXm7RDcC3mx3-DPYKs55sSv1DD3xeixwfvefoa-X7_bbD83u4_ur7WbXWC7E3NBuMM56JmHoewJOUCcFkaYfOHGmN1z3VhgYjBedtwOTEji3ojWd5F67rj1Db46-N4uZwFmIc51Z3eQw6fxDJR3Un0oM39Qh3apeStlyXg1e3Rnk9H2BMqspFAvjqCOkpSgmGOM94-3a6-Vf6HVacqzrrRQXhLVipeiRsjmVksHfD0OJWg-p_jlkrXnxcIv7il9nq8DFESj6AL_b_t_xJ4swpiE</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2624602365</pqid></control><display><type>article</type><title>Ideal Combination of Anatomic Tibial and Femoral Tunnel Positions for Single-Bundle ACL Reconstruction</title><source>PubMed Central Free</source><source>SAGE Open Access</source><source>DOAJ Directory of Open Access Journals</source><source>EZB Electronic Journals Library</source><creator>Yoon, Kyoung Ho ; Kim, Yoon-Seok ; Park, Jae-Young ; Kim, Sang-Gyun ; Lee, Jong-Hwan ; Choi, Sun Hwan ; Kim, Sang Jin</creator><creatorcontrib>Yoon, Kyoung Ho ; Kim, Yoon-Seok ; Park, Jae-Young ; Kim, Sang-Gyun ; Lee, Jong-Hwan ; Choi, Sun Hwan ; Kim, Sang Jin</creatorcontrib><description>Background:
Anatomic anterior cruciate ligament reconstruction (ACLR) is preferred over nonanatomic ACLR. However, there is no consensus on which point the tunnels should be positioned among the broad anatomic footprints.
Purpose/Hypothesis:
To identify the ideal combination of tibial and femoral tunnel positions according to the femoral and tibial footprints of the anteromedial (AM) and posterolateral (PL) anterior cruciate ligament bundles. It was hypothesized that patients with anteromedially positioned tunnels would have better clinical scores, knee joint stability, and graft signal intensity on follow-up magnetic resonance imaging (MRI) than those with posterolaterally positioned tunnels.
Study Design:
Cohort study; Level of evidence, 3.
Methods:
A total of 119 patients who underwent isolated single-bundle ACLR with a hamstring autograft from July 2013 to September 2018 were retrospectively investigated. Included were patients with clinical scores and knee joint stability test results at 2-year follow-up and postoperative 3-dimensional computed tomography and 1-year postoperative MRI findings. The cohort was divided into 4 groups, named according to the bundle positions in the tibial and femoral tunnels: AM-AM (n = 33), AM-PL (n = 26), PL-AM (n = 29), and PL-PL (n = 31).
Results:
There were no statistically significant differences among the 4 groups in preoperative demographic data or postoperative clinical scores (Lysholm, Tegner, and International Knee Documentation Committee subjective scores); knee joint stability (anterior drawer, Lachman, and pivot-shift tests and Telos stress radiographic measurement of the side-to-side difference in anterior tibial translation); graft signal intensity on follow-up MRI; or graft failure.
Conclusion:
No significant differences in clinical scores, knee joint stability, or graft signal intensity on follow-up MRI were identified between the patients with anteromedially and posterolaterally positioned tunnels.</description><identifier>ISSN: 2325-9671</identifier><identifier>EISSN: 2325-9671</identifier><identifier>DOI: 10.1177/23259671211069960</identifier><identifier>PMID: 35071661</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Joint and ligament injuries ; Knee ; Magnetic resonance imaging ; Orthopedics ; Reconstructive surgery ; Sports medicine</subject><ispartof>Orthopaedic journal of sports medicine, 2022-01, Vol.10 (1), p.23259671211069960-23259671211069960</ispartof><rights>The Author(s) 2022</rights><rights>The Author(s) 2022.</rights><rights>The Author(s) 2022. This work is licensed under the Creative Commons Attribution – Non-Commercial – No Derivatives License https://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2022 2022 SAGE Publications</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c466t-159bdcf27e9880ed61d7607b8940db8b4a8c6be9bf65fc9277e44c63b574fad53</citedby><cites>FETCH-LOGICAL-c466t-159bdcf27e9880ed61d7607b8940db8b4a8c6be9bf65fc9277e44c63b574fad53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8777344/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8777344/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,21966,27853,27924,27925,44945,45333,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35071661$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yoon, Kyoung Ho</creatorcontrib><creatorcontrib>Kim, Yoon-Seok</creatorcontrib><creatorcontrib>Park, Jae-Young</creatorcontrib><creatorcontrib>Kim, Sang-Gyun</creatorcontrib><creatorcontrib>Lee, Jong-Hwan</creatorcontrib><creatorcontrib>Choi, Sun Hwan</creatorcontrib><creatorcontrib>Kim, Sang Jin</creatorcontrib><title>Ideal Combination of Anatomic Tibial and Femoral Tunnel Positions for Single-Bundle ACL Reconstruction</title><title>Orthopaedic journal of sports medicine</title><addtitle>Orthop J Sports Med</addtitle><description>Background:
Anatomic anterior cruciate ligament reconstruction (ACLR) is preferred over nonanatomic ACLR. However, there is no consensus on which point the tunnels should be positioned among the broad anatomic footprints.
Purpose/Hypothesis:
To identify the ideal combination of tibial and femoral tunnel positions according to the femoral and tibial footprints of the anteromedial (AM) and posterolateral (PL) anterior cruciate ligament bundles. It was hypothesized that patients with anteromedially positioned tunnels would have better clinical scores, knee joint stability, and graft signal intensity on follow-up magnetic resonance imaging (MRI) than those with posterolaterally positioned tunnels.
Study Design:
Cohort study; Level of evidence, 3.
Methods:
A total of 119 patients who underwent isolated single-bundle ACLR with a hamstring autograft from July 2013 to September 2018 were retrospectively investigated. Included were patients with clinical scores and knee joint stability test results at 2-year follow-up and postoperative 3-dimensional computed tomography and 1-year postoperative MRI findings. The cohort was divided into 4 groups, named according to the bundle positions in the tibial and femoral tunnels: AM-AM (n = 33), AM-PL (n = 26), PL-AM (n = 29), and PL-PL (n = 31).
Results:
There were no statistically significant differences among the 4 groups in preoperative demographic data or postoperative clinical scores (Lysholm, Tegner, and International Knee Documentation Committee subjective scores); knee joint stability (anterior drawer, Lachman, and pivot-shift tests and Telos stress radiographic measurement of the side-to-side difference in anterior tibial translation); graft signal intensity on follow-up MRI; or graft failure.
Conclusion:
No significant differences in clinical scores, knee joint stability, or graft signal intensity on follow-up MRI were identified between the patients with anteromedially and posterolaterally positioned tunnels.</description><subject>Joint and ligament injuries</subject><subject>Knee</subject><subject>Magnetic resonance imaging</subject><subject>Orthopedics</subject><subject>Reconstructive surgery</subject><subject>Sports medicine</subject><issn>2325-9671</issn><issn>2325-9671</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>AFRWT</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp1kV1rFTEQhoMottT-AG8k4I03W5NsNtm9EY4Hq4UDih6vQz4mx5TdpCa7Bf-9WU6tVTE3GeZ95p0ZBqHnlFxQKuVr1rJuEJIySokYBkEeodM116zJxw_iE3ReyjWpr-_o0Mqn6KTtiKRC0FPkrxzoEW_TZELUc0gRJ483NUxTsHgfTKiyjg5fwpRyjfdLjDDiT6mEFS_Yp4y_hHgYoXm7RDcC3mx3-DPYKs55sSv1DD3xeixwfvefoa-X7_bbD83u4_ur7WbXWC7E3NBuMM56JmHoewJOUCcFkaYfOHGmN1z3VhgYjBedtwOTEji3ojWd5F67rj1Db46-N4uZwFmIc51Z3eQw6fxDJR3Un0oM39Qh3apeStlyXg1e3Rnk9H2BMqspFAvjqCOkpSgmGOM94-3a6-Vf6HVacqzrrRQXhLVipeiRsjmVksHfD0OJWg-p_jlkrXnxcIv7il9nq8DFESj6AL_b_t_xJ4swpiE</recordid><startdate>20220101</startdate><enddate>20220101</enddate><creator>Yoon, Kyoung Ho</creator><creator>Kim, Yoon-Seok</creator><creator>Park, Jae-Young</creator><creator>Kim, Sang-Gyun</creator><creator>Lee, Jong-Hwan</creator><creator>Choi, Sun Hwan</creator><creator>Kim, Sang Jin</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>AFRWT</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>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20220101</creationdate><title>Ideal Combination of Anatomic Tibial and Femoral Tunnel Positions for Single-Bundle ACL Reconstruction</title><author>Yoon, Kyoung Ho ; Kim, Yoon-Seok ; Park, Jae-Young ; Kim, Sang-Gyun ; Lee, Jong-Hwan ; Choi, Sun Hwan ; Kim, Sang Jin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c466t-159bdcf27e9880ed61d7607b8940db8b4a8c6be9bf65fc9277e44c63b574fad53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Joint and ligament injuries</topic><topic>Knee</topic><topic>Magnetic resonance imaging</topic><topic>Orthopedics</topic><topic>Reconstructive surgery</topic><topic>Sports medicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yoon, Kyoung Ho</creatorcontrib><creatorcontrib>Kim, Yoon-Seok</creatorcontrib><creatorcontrib>Park, Jae-Young</creatorcontrib><creatorcontrib>Kim, Sang-Gyun</creatorcontrib><creatorcontrib>Lee, Jong-Hwan</creatorcontrib><creatorcontrib>Choi, Sun Hwan</creatorcontrib><creatorcontrib>Kim, Sang Jin</creatorcontrib><collection>SAGE Open Access</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)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</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>Access via ProQuest (Open Access)</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><collection>PubMed Central (Full Participant titles)</collection><jtitle>Orthopaedic journal of sports medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yoon, Kyoung Ho</au><au>Kim, Yoon-Seok</au><au>Park, Jae-Young</au><au>Kim, Sang-Gyun</au><au>Lee, Jong-Hwan</au><au>Choi, Sun Hwan</au><au>Kim, Sang Jin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ideal Combination of Anatomic Tibial and Femoral Tunnel Positions for Single-Bundle ACL Reconstruction</atitle><jtitle>Orthopaedic journal of sports medicine</jtitle><addtitle>Orthop J Sports Med</addtitle><date>2022-01-01</date><risdate>2022</risdate><volume>10</volume><issue>1</issue><spage>23259671211069960</spage><epage>23259671211069960</epage><pages>23259671211069960-23259671211069960</pages><issn>2325-9671</issn><eissn>2325-9671</eissn><abstract>Background:
Anatomic anterior cruciate ligament reconstruction (ACLR) is preferred over nonanatomic ACLR. However, there is no consensus on which point the tunnels should be positioned among the broad anatomic footprints.
Purpose/Hypothesis:
To identify the ideal combination of tibial and femoral tunnel positions according to the femoral and tibial footprints of the anteromedial (AM) and posterolateral (PL) anterior cruciate ligament bundles. It was hypothesized that patients with anteromedially positioned tunnels would have better clinical scores, knee joint stability, and graft signal intensity on follow-up magnetic resonance imaging (MRI) than those with posterolaterally positioned tunnels.
Study Design:
Cohort study; Level of evidence, 3.
Methods:
A total of 119 patients who underwent isolated single-bundle ACLR with a hamstring autograft from July 2013 to September 2018 were retrospectively investigated. Included were patients with clinical scores and knee joint stability test results at 2-year follow-up and postoperative 3-dimensional computed tomography and 1-year postoperative MRI findings. The cohort was divided into 4 groups, named according to the bundle positions in the tibial and femoral tunnels: AM-AM (n = 33), AM-PL (n = 26), PL-AM (n = 29), and PL-PL (n = 31).
Results:
There were no statistically significant differences among the 4 groups in preoperative demographic data or postoperative clinical scores (Lysholm, Tegner, and International Knee Documentation Committee subjective scores); knee joint stability (anterior drawer, Lachman, and pivot-shift tests and Telos stress radiographic measurement of the side-to-side difference in anterior tibial translation); graft signal intensity on follow-up MRI; or graft failure.
Conclusion:
No significant differences in clinical scores, knee joint stability, or graft signal intensity on follow-up MRI were identified between the patients with anteromedially and posterolaterally positioned tunnels.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>35071661</pmid><doi>10.1177/23259671211069960</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Joint and ligament injuries Knee Magnetic resonance imaging Orthopedics Reconstructive surgery Sports medicine |
| title | Ideal Combination of Anatomic Tibial and Femoral Tunnel Positions for Single-Bundle ACL Reconstruction |
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