Anatomic Single Bundle Anterior Cruciate Ligament Reconstruction by the Two Anteromedial Portal Method: The Comparison of Transportal and Transtibial Techniques

Kim, Myung‐Ku; Lee, Byung-Cheol; Park, Joo-Hyun

doi:10.5792/ksrr.2011.23.4.213

Cited by 41 publications

(37 citation statements)

References 18 publications

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“…In the Pivot-Shift test, which analyzes the rotational stability, the anatomical technique is expected to show an advantage 19, 20, 21, 22, 23. In the present study, there were fewer cases of Pivot-Shift positivity in the outside-in technique, without statistical significance.…”

Section: Discussioncontrasting

confidence: 57%

Comparative evaluation of the results of three techniques in the reconstruction of the anterior cruciate ligament, with a minimum follow-up of two years

Cury¹,

Sprey²,

Bragatto³

et al. 2017

Revista Brasileira de Ortopedia (English Edition)

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ObjectiveTo compare the clinical results of the reconstruction of the anterior cruciate ligament by transtibial, transportal, and outside-in techniques.MethodsThis was a retrospective study on 90 patients (ACL reconstruction with autologous flexor tendons) operated between August 2009 and June 2012, by the medial transportal (30), transtibial (30), and “outside-in” (30) techniques. The following parameters were assessed: objective and subjective IKDC, Lysholm, KT1000, Lachman test, Pivot-Shift and anterior drawer test.ResultsOn physical examination, the Lachman test and Pivot-Shift indicated a slight superiority of the outside-in technique, but without statistical significance (p = 0.132 and p = 0.186 respectively). The anterior drawer, KT1000, subjective IKDC, Lysholm, and objective IKDC tests showed similar results in the groups studied. A higher number of complications were observed in the medial transportal technique (p = 0.033).ConclusionThere were no statistically significant differences in the clinical results of patients undergoing reconstruction of the anterior cruciate ligament by transtibial, medial transportal, and outside-in techniques.

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Section: Discussioncontrasting

confidence: 57%

Comparative evaluation of the results of three techniques in the reconstruction of the anterior cruciate ligament, with a minimum follow-up of two years

Cury¹,

Sprey²,

Bragatto³

et al. 2017

Revista Brasileira de Ortopedia (English Edition)

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show abstract

“…The small study size should be emphasized. Although many studies have similar case series, 6,12,[19][20][21] because it is expected that the difference of the objective and subjective outcomes is slight, large samples are necessary to detect a significant difference. Therefore, the results presented in the tables in this study should be assessed carefully because we might have type II statistical errors (i.e., not detecting a difference although it exists).…”

Section: Discussionmentioning

confidence: 99%

Transtibial Versus Anteromedial Portal Techniques in Acl Reconstruction

Guglielmetti

Cury

Oliveira

et al. 2016

Rev Bras Med Esporte

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Introduction: Although the results of anterior cruciate ligament (ACL) reconstruction are well documented in many studies, with good to excellent outcomes in most cases, some issues like tunnel positioning are still discussed and studied. Objective: To compare the objective and subjective clinical outcomes of ACL reconstruction using the transtibial and anteromedial portal techniques. Methods: Prospective randomized study of 80 patients undergoing anterior cruciate ligament reconstruction by the same surgeon, with 40 patients operated by the transtibial technique and 40 by anteromedial portal technique. The patients, 34 in the transtibial group and 37 in the anteromedial portal group (nine dropouts), were reassessed during a 2-year follow-up period. The clinical assessment consisted of physical examination, KT-1000TM evaluation, Lysholm score, and objective and subjective International Knee Documentation Committee -IKDC scores. Results: Regarding the Lachman and pivot shift tests, we observed more cases of instability in the transtibial group, but with no statistical significance (p=0.300 and p=0.634, respectively). Regarding the anterior drawer test, the groups presented similar results (p=0.977). Regarding KT-1000TM evaluation, the mean results were 1.44 for the transtibial group and 1.23 for the anteromedial portal group, with no statistical significance (p=0.548). We separated the objective IKDC scores into two groups: Group 1, IKDC A, and Group 2, IKDC B, C, or D, with no statistical significance (p=0.208). Concerning the Lysholm score, the transtibial group had a mean score of 91.32, and the anteromedial portal group had a mean score of 92.81. The mean subjective IKDC scores were 90.65 for the transtibial group and 92.65 for the anteromedial portal group. Three re-ruptures were encountered in the transtibial group and three in the anteromedial portal group. Conclusions: There were no significant differences in the subjective and objective clinical assessments among patients submitted to anterior cruciate ligament reconstruction using the transtibial or anteromedial portal techniques.

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“…Ahn et al27) reported that remnant preserving ACL reconstruction provided good clinical outcomes and stabilities without compromising accuracy of tunnel position. However, cyclops lesions were found in 12 out of 48 patients on MRI even though they did not have any limitation in extension (Table 2)15,22,25,26,29,30). Mifune et al31) reported that remnant preserving selective bundle augmentation showed good anterior and rotational stability in patients with only AM or PL tear, and they recommended remnant preserving augmentation for partial ACL tears.…”

Section: Operative Techniques For Acl Reconstructionmentioning

confidence: 98%

Current Trends in Anterior Cruciate Ligament Reconstruction

Kim

Seon

2013

Knee Surg Relat Res

134

130

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The advances in the knowledge of anatomy, surgical techniques, and fixation devices have led to the improvement of anterior cruciate ligament (ACL) reconstruction over the past 10 years. Nowadays, double bundle and anatomical single bundle ACL reconstruction that more closely restores the normal anatomy of the ACL are becoming popular. Although there is still no definite conclusion whether double bundle ACL reconstruction provides better clinical results than single bundle reconstruction, the trend has shifted to anatomic reconstruction regardless of single bundle or double bundle techniques. We could not find any significant differences in the clinical outcomes and stability after ACL reconstruction according to the type of graft or fixation device. Therefore, surgeons should select an ideal ACL reconstruction according to the patient's condition and surgeon's experience.

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Anatomic Single Bundle Anterior Cruciate Ligament Reconstruction by the Two Anteromedial Portal Method: The Comparison of Transportal and Transtibial Techniques

Cited by 41 publications

References 18 publications

Comparative evaluation of the results of three techniques in the reconstruction of the anterior cruciate ligament, with a minimum follow-up of two years

Comparative evaluation of the results of three techniques in the reconstruction of the anterior cruciate ligament, with a minimum follow-up of two years

Transtibial Versus Anteromedial Portal Techniques in Acl Reconstruction

Current Trends in Anterior Cruciate Ligament Reconstruction

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