The Anteromedial Portal for Anterior Cruciate Ligament Reconstruction

Bernard, M.; Ristanis, Stavros; Chouliaras, Vassilis; Paessler, Hans H.; Georgoulis, Anastasios D.

doi:10.1016/b978-1-4160-3834-4.10019-8

Cited by 1 publication

(1 citation statement)

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“…ACL reconstruction using an autogenous graft may be done either arthroscopically or via the open route, through arthrotomy, and both of these have historically been considered acceptable (13) . The arthroscopic technique using the anteromedial portal presents the advantages that it is easy to manipulate the instruments in the medial portion of the lateral femoral condyle; it is easy to position the tibial tunnel; there is no divergence in placing interference screws when the patellar tendon is used; it is easy to locate the entry points when a double band is used; the tunnel can be made with the knee at 120°, without risk of fracturing the dorsal cortical bone of the femoral condyle; and correct rotation of the insertion of the graft along the femoral axis is easily achieved, given that it runs parallel to the tibial plateau when a flexed position of 120° is used (14) . Some studies have shown that there is no statistical difference between the open and arthroscopic techniques, with regard to the clinical results from assessing joint stability, range of motion and postoperative pain 13 , 15 .…”

Section: Introductionmentioning

confidence: 99%

Radiological Analysis of Bone Tunnel Position in Anterior Cruciate Ligament Reconstruction Surgery: Comparison Between the Open Technique and Arthroscopy via an Anteromedial Portal

Dambrós

Florêncio

Júnior

et al. 2011

Revista Brasileira de Ortopedia (English Edition)

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Objectives: To evaluate and compare bone tunnel positioning in anterior cruciate ligament (ACL) reconstruction surgery using the arthroscopic technique and the open technique consisting of arthrotomy. Method: A comparative retrospective study on 70 patients with ACL lesions was conducted. Thirty-five patients underwent ACL reconstruction by means of the open technique and 35 by means of the arthroscopic technique using an anteromedial portal. All the patients underwent ACL reconstruction using an autologous graft from the middle third of the patellar tendon, fixed using interference screws. The postoperative radiographs were reviewed and the positioning of the femoral tunnel was evaluated using the methods proposed by Harner et al. and Aglietti et al., while the tibial tunnel was assessed using the method proposed by Rauschning and Stäubli. Results: Fifty-four of the patients were male and 16 were female. Their mean age at the time of the procedure was 34 years and 3 months, with a range from 17 to 58 years. The arthroscopic technique was shown to be more accurate than the open technique for positioning both the femoral and the tibial bone tunnels. Conclusions: Radiological analysis on the knees subjected to ACL reconstruction showed that the positioning of both the femoral and the tibial bone tunnels presented less variation when the surgery was performed arthroscopically.

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Section: Introductionmentioning

confidence: 99%