Length of the Tendon within the Tibial Tunnel Affects Tibial Tunnel Widening following Anatomic Anterior Cruciate Ligament Reconstruction Using a Bone–Patellar Tendon–Bone Graft

Taketomi, Shuji; Inui, Hiroshi; Yamagami, Ryota; Kawaguchi, Kohei; Nakazato, Keiu; Kono, Kenichi; Kawata, Manabu; Nakagawa, Takumi; Tanaka, Sakae

doi:10.1055/s-0039-1681064

Cited by 8 publications

(13 citation statements)

References 31 publications

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“…This may mean that the influence of common femoral and tibial factors or individual factors is greater than the influence of independent factors on the femoral or tibial side, respectively, on TW. Examples of the former include age 24 or bone quality, the intra-articular environment including cytokines, 25 the initial tension on the graft tendon, 12 whereas the latter include the graft-bending angle between the femur or tibia, the windshield wiper effect, 26 and the length of the tendinous portion in the bone tunnel, 11 , 13 which depends on the position of the bone plug in the tunnel.…”

Section: Discussionmentioning

confidence: 99%

“…The intra- and interobserver reliabilities were reported using the intraclass correlation coefficient (0.97 and 0.94, respectively). 11 We used the tunnel aperture area measured at 1 week postoperatively as the baseline measurement, which was then compared with the diameter measured during the 1-year postoperative follow-up. Then, the proportional variation in tibial tunnel aperture area between the two points, defined as TW (%), was determined.…”

Section: Methodsmentioning

confidence: 99%

“…In addition, there are few published papers studying TW after anatomical ACL reconstruction using BTB grafts, and many of these previous studies treated femoral and tibial TW individually as separate events. 7 , 11 , 12 , 13 Therefore, the correlation between femoral and tibial TW after anatomical ACL reconstruction using BTB grafts has not been fully understood. Even among the papers that studied the relationship between PTS and TW, most examined only the effects on the tibial side of TW, 7 , 8 , 9 and the effects on the femoral side of TW have rarely been investigated.…”

Section: Introductionmentioning

confidence: 99%

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Lateral posterior tibial slope does not affect femoral but does affect tibial tunnel widening following anatomic anterior cruciate ligament reconstruction using a Bone–Patellar Tendon–Bone graft

Taketomi

Inui

Yamagami

et al. 2022

Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilit

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Lateral posterior tibial slope does not affect femoral but does affect tibial tunnel widening following anatomic anterior cruciate ligament reconstruction using a Bone–Patellar Tendon–Bone graft

Taketomi

Inui

Yamagami

et al. 2022

Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilit

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“…In addition, the degree of anterior tibial translocation was measured with a KNEELAX3 arthrometer (Monitored Rehab Systems, Haarlem, The Netherlands) ( 18 ) preoperatively, at the 1-month follow-up, and at the 3-month follow-up. As KT-1000/2000, it was also considered valid and reliable, with very similar operating process ( 19 , 20 ). Both knees were measured with different anterior force with the maximum of 132 N applied to the proximal tibia at 20° of knee flexion in a supine position.…”

Section: Methodsmentioning

confidence: 99%

The effect of hamstring donor-site block for functional outcomes and rehabilitation after anterior cruciate ligament reconstruction

et al. 2023

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PurposeTo determine the effect of local infiltration anesthesia (LIA) at the donor site combined with a femoral nerve block (FNB) on short-term postoperative pain, functional outcomes, and rehabilitation after arthroscopic hamstring tendon autograft anterior cruciate ligament reconstruction (ACLR).MethodsThis study was a single center, randomized controlled trial. Seventy-three subjects with ACL rupture were enrolled. Participants were randomly allocated to two groups, 47 in the experimental group (Group A) and 26 in the control group (Group B). All operations were performed under FNB. In Group A, 10 ml of 1% ropivacaine was injected precisely at the hamstring donor site. Patients in Group B were treated with the same amount of saline. Preoperatively and postoperatively, pain scores based on the numerical rating scale (NRS) and consumption of opioids were recorded. In addition, knee functions were assessed by the International Knee Documentation Committee Subjective Knee Form (IKDC), the Lysholm score, and the Knee injury and Osteoarthritis Outcome Score (KOOS) preoperatively and postoperatively at 1 and 3 months. In addition, we applied the KNEELAX3 arthrometer to evaluate the stability of the knee preoperatively and postoperatively so that subjective and objective knee conditions were obtained to help us assess knee recovery in a comprehensive manner.ResultsThe hamstring donor-site block reduced pain within the first 12 postoperative hours. There were no significant differences between two groups in pain intensity preoperatively and equal to or greater than 24 hours postoperatively. Furthermore, there were no differences between the groups concerning knee functions preoperatively or in the short-term follow-up at 1 and 3 months.ConclusionLIA at the donor site can effectively improve the early postoperative pain of patients after ACLR and reduce the use of opioids without affecting the functional outcomes of the surgery.

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“…Anterior cruciate ligament (ACL) reconstruction (ACLR) is a standard procedure for ACL injuries with generally good results; however, many complications remain unaddressed by research. Bone tunnel enlargement is a common problem in ACLR [2, 4, 27, 36]. Although bone tunnel enlargement has been reported to show no significant association with knee stability [1], enlargement can shift the tunnel to a non‐anatomical position [13], affecting treatment strategies for revision ACLR [4, 23, 32, 36].…”

Section: Introductionmentioning

confidence: 99%

A new remnant preservation technique reduces bone tunnel enlargement after anatomic double-bundle anterior cruciate ligament reconstruction

Koyama

Tensho

Shimodaira

et al. 2022

Knee Surg Sports Traumatol Arthrosc

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PurposeTo investigate the effect of a new remnant preservation technique with a focus on remnant continuity on postoperative femoral and tibial tunnel enlargement after anatomical double‐bundle anterior cruciate ligament reconstruction (ACLR). MethodsA total of 150 knees were divided into three groups: Preservation Group (Group P: 49 knees), wherein the remnant continuity remained after tunnel creation; Resection Group (Group R: 47 knees), wherein the remaining remnant was resected, and Absent Group (Group A: 54 knees), wherein the remnant had no femoral attachment before tunnel creation. In Group P, the remnant maintained continuity, and the anteromedial (AM) and posterolateral (PL) bundles were positioned anterior and posterior to the remnant, respectively. Computed tomographic scans were performed at 1 week and 1 year after surgery, and the cross‐sectional area of each tunnel aperture was measured. Tunnel enlargement was compared among the three groups by one‐way analysis of variance (ANOVA) and the Bonferroni test. Univariate and multivariate logistic analyses were performed to identify the risk factors for tunnel enlargement in demographic and radiographic data. ResultFor femoral AM tunnels, the tunnel enlargement of Group P was significantly smaller than Groups R and A (p < 0.001), femoral PL (p < 0.001 vs. R and A), tibial AM (p < 0.001 vs. R, 0.002 vs. A), and tibial PL (p < 0.001 vs. R, 0.002 vs. A). There was no significant difference between Groups R and A. Multivariate logistic analysis showed that remnant preservation was a significant factor in reducing tunnel enlargement in the femoral AM, femoral PL, tibial AM, and tibial PL. ConclusionThe new remnant‐preserving anatomical double‐bundle ACLR, which preserves the continuity of the remnant, prevented all bone tunnel enlargement at 1 year postoperatively. Level of evidenceLevel III.

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Length of the Tendon within the Tibial Tunnel Affects Tibial Tunnel Widening following Anatomic Anterior Cruciate Ligament Reconstruction Using a Bone–Patellar Tendon–Bone Graft

Cited by 8 publications

References 31 publications

Lateral posterior tibial slope does not affect femoral but does affect tibial tunnel widening following anatomic anterior cruciate ligament reconstruction using a Bone–Patellar Tendon–Bone graft

Lateral posterior tibial slope does not affect femoral but does affect tibial tunnel widening following anatomic anterior cruciate ligament reconstruction using a Bone–Patellar Tendon–Bone graft

The effect of hamstring donor-site block for functional outcomes and rehabilitation after anterior cruciate ligament reconstruction

A new remnant preservation technique reduces bone tunnel enlargement after anatomic double-bundle anterior cruciate ligament reconstruction

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