Comparison of Modified Transtibial and Outside-In Techniques in Anatomic Single-Bundle Anterior Cruciate Ligament Reconstruction
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Lee, Dhong Won | - |
dc.contributor.author | Kim, Jin Goo | - |
dc.contributor.author | Lee, Ji Hwan | - |
dc.contributor.author | Park, Jung Ho | - |
dc.contributor.author | Kim, Du Han | - |
dc.date.accessioned | 2022-07-11T05:18:25Z | - |
dc.date.available | 2022-07-11T05:18:25Z | - |
dc.date.created | 2021-05-14 | - |
dc.date.issued | 2018-10 | - |
dc.identifier.issn | 0749-8063 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/149174 | - |
dc.description.abstract | Purpose To compare the bending angle of anterior cruciate ligament (ACL) graft at femoral tunnel, graft maturation, and tunnel positions and the clinical outcomes of the modified transtibial (mTT) and outside-in (OI) techniques. Methods Patients who met the inclusion criteria were divided into the mTT group (n = 50) and the OI group (n = 50). Using 3-dimensional computed tomography (3-D CT), tunnel placement and femoral tunnel bending angle were analyzed. The 3.0-T magnetic resonance imaging (MRI) was used to assess the graft signal intensity (indicative of maturation) with signal/noise quotient (SNQ). Graft tension and synovialization were evaluated with second-look arthroscopy in all cases. Clinical and functional tests were completed at 36 months of follow-up. Results When tunnel placements were analyzed using the quadrant method, no significant differences were found between the mTT group and the OI group. The femoral graft bending angle was reduced in the mTT group, and the total mean of SNQ values and mean SNQ values at the femoral intraosseous and proximal graft of the mTT group were significantly lower than in the OI group (P < .001), respectively. The femoral graft bending angle on the coronal and axial planes showed moderate-to-strong correlation with the SNQ values at the femoral intraosseous and proximal graft. Second-look arthroscopy revealed better synovialization in the mTT group than in the OI group (P = .040), with no significant difference in graft tension between the 2 groups (P = .328). Conclusions Anatomic tunnel placements did not vary between the mTT group and the OI group. However, the mTT group had more benefits in femoral graft bending angle and showed higher graft maturity and better synovial coverage than the OI group, although there were no significant differences in clinical outcomes. The acute femoral graft bending angle might negatively affect the maturation of proximal graft. Level of Evidence Level III, retrospective comparative study. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | W B SAUNDERS CO-ELSEVIER INC | - |
dc.title | Comparison of Modified Transtibial and Outside-In Techniques in Anatomic Single-Bundle Anterior Cruciate Ligament Reconstruction | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Kim, Jin Goo | - |
dc.identifier.doi | 10.1016/j.arthro.2018.05.041 | - |
dc.identifier.scopusid | 2-s2.0-85052974059 | - |
dc.identifier.wosid | 000446035700024 | - |
dc.identifier.bibliographicCitation | ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, v.34, no.10, pp.2857 - 2870 | - |
dc.relation.isPartOf | ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY | - |
dc.citation.title | ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY | - |
dc.citation.volume | 34 | - |
dc.citation.number | 10 | - |
dc.citation.startPage | 2857 | - |
dc.citation.endPage | 2870 | - |
dc.type.rims | ART | - |
dc.type.docType | 정기 학술지(Review) | - |
dc.description.journalClass | 1 | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Orthopedics | - |
dc.relation.journalResearchArea | Sport Sciences | - |
dc.relation.journalResearchArea | Surgery | - |
dc.relation.journalWebOfScienceCategory | Orthopedics | - |
dc.relation.journalWebOfScienceCategory | Sport Sciences | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
dc.subject.keywordPlus | GRAFT BENDING ANGLE | - |
dc.subject.keywordPlus | 3-DIMENSIONAL COMPUTED-TOMOGRAPHY | - |
dc.subject.keywordPlus | 2ND-LOOK ARTHROSCOPIC FINDINGS | - |
dc.subject.keywordPlus | FEMORAL TUNNEL PLACEMENT | - |
dc.subject.keywordPlus | ANTEROMEDIAL PORTAL TECHNIQUE | - |
dc.subject.keywordPlus | HAMSTRING TENDON GRAFT | - |
dc.subject.keywordPlus | ACL RECONSTRUCTION | - |
dc.subject.keywordPlus | CLINICAL-OUTCOMES | - |
dc.subject.keywordPlus | INTERFERENCE SCREW | - |
dc.subject.keywordPlus | FIXATION STRENGTH | - |
dc.identifier.url | https://www.sciencedirect.com/science/article/pii/S0749806318304791?via%3Dihub | - |
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.
222, Wangsimni-ro, Seongdong-gu, Seoul, 04763, Korea+82-2-2220-1365
COPYRIGHT © 2021 HANYANG UNIVERSITY.
Certain data included herein are derived from the © Web of Science of Clarivate Analytics. All rights reserved.
You may not copy or re-distribute this material in whole or in part without the prior written consent of Clarivate Analytics.