Radiological and functional comparison of single-bundle anterior cruciate ligament  reconstruction: transtibial versus anteromedial technique

Mustafa ÖZER; Hamza ÖZER; Hakan Yusuf SELEK; Yaşar Gül BALTACI; Gülcan HARPUT; Anil TAŞKESEN; Mehmet ÇETİNKAYA

Makale detayları

Radiological and functional comparison of single-bundle anterior cruciate ligament reconstruction: transtibial versus anteromedial technique

Yazarlar:

Mustafa ÖZER | Hamza ÖZER | Hakan Yusuf SELEK | Yaşar Gül BALTACI | Gülcan HARPUT | Anil TAŞKESEN | Mehmet ÇETİNKAYA

Yayıncı:

TUBITAK

Dergi:

Turkish Journal of Medical Sciences 2018 Vol.48 Issue 3, pp.455-461

Belge Tipi:

Makale

Yayın Tarihi:

5/2018

Belge Dili:

Türkçe

Document ID (Org No.):

2000750684

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144

Özet:

 

Background/aim: This study aimed to compare radiological and functional outcomes of patients who had single-bundle anterior  cruciate ligament (ACL) reconstruction with autologous hamstring tendon grafts using transtibial (TT) versus anteromedial (AM)  femoral tunnel drilling techniques.  Materials and methods: Sixty patients who had been operated on between 2010 and 2013 were enrolled in this study. Tunnel positions  and widenings in the femur and tibia were evaluated with radiographs, arthrometric measurements with a Rolimeter arthrometer  (Aircast, Summit, NJ, USA), stability assessment with Lachman and reverse pivot shift tests, and functional assessment with the  International Knee Documentation Committee and Tegner and Lysholm scoring systems.  Results: Tunnel enlargement in the sagittal and coronal planes of the femur was higher with the TT technique (P < 0.0001) and that of  the coronal planes of the tibia was also higher with the TT technique (P = 0.01). During the assessment with the Rolimeter, the difference  between sides was significant with the TT technique (P = 0.013). Positive results of the Lachman and reverse pivot shift tests were more  frequent with the TT technique (P < 0.05), and the Lysholm scores were higher with the AM technique (P = 0.001).  Conclusion: ACL reconstruction with hamstring autografts by either TT or AM technique demonstrated similar and excellent results  in terms of functional outcomes at the end of the first postoperative year. The TT group had increased tunnel enlargement, which may  have uncertain long-term outcomes, compared with the AM group.

Makale detayları

Radiological and functional comparison of single-bundle anterior cruciate ligament reconstruction: transtibial versus anteromedial technique

Yazarlar: Mustafa ÖZER | Hamza ÖZER | Hakan Yusuf SELEK | Yaşar Gül BALTACI | Gülcan HARPUT | Anil TAŞKESEN | Mehmet ÇETİNKAYA

Yayıncı: TUBITAK

Dergi: Turkish Journal of Medical Sciences 2018 Vol.48 Issue 3, pp.455-461

Belge Tipi: Makale

Yayın Tarihi: 5/2018

Belge Dili: Türkçe

Document ID (Org No.): 2000750684

Sıklık: İki Aylık

eISSN: 1303-6165

pISSN: 1300-0144

Sayı

Yazarlar:

Mustafa ÖZER | Hamza ÖZER | Hakan Yusuf SELEK | Yaşar Gül BALTACI | Gülcan HARPUT | Anil TAŞKESEN | Mehmet ÇETİNKAYA

Yayıncı:

TUBITAK

Dergi:

Turkish Journal of Medical Sciences 2018 Vol.48 Issue 3, pp.455-461

Belge Tipi:

Makale

Yayın Tarihi:

5/2018

Belge Dili:

Türkçe

Document ID (Org No.):

2000750684

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144