Revision after Anterior Cruciate Ligament Reconstruction by Restoration of the Posterolateral Bundle

被引:3
作者
Brucker, Peter U. [1 ]
Zelle, Boris A. [1 ]
Fu, Freddie H. [1 ]
机构
[1] Univ Pittsburgh, Sch Med, Dept Orthopaed Surg, Pittsburgh, PA 15261 USA
关键词
anterior cruciate ligament; revision; reconstruction; anteromedial bundle; posterolateral bundle; arthroscopy;
D O I
10.1053/j.oto.2004.11.015
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Recurrent instability after primary single-bundle anterior cruciate ligament (ACL) reconstruction is predominantly caused by technical errors. Delayed biological incorporation and traumatic reinjury represent other factors of ACL graft failure. However, there are patients with an intact single-bundle ACL graft complaining of recurrent instability where imaging studies lack inappropriate positioning of the tunnels and other technical errors. This recurrent instability may be caused by an incomplete restoration of the native ACL because biomechanical studies have shown only partial restoration of normal kinematics in single-bundle ACL reconstruction. We present 2 cases of recurrent instability after primary single-bundle ACL reconstruction that demonstrated an intact ACL graft. We performed an augmentation of the intact ACL graft representing the anteromedial bundle by reconstruction of the posterolateral bundle. This novel technique may address a (partially) recurrent instability after primary ACL reconstruction. Oper Tech Orthop 15: 146-150 (C) 2005 Elsevier Inc. All rights reserved.
引用
收藏
页码:146 / 150
页数:5
相关论文
共 11 条
[1]
Cha PS, ARTHROSCOPY
[2]
Getelman M H, 1999, J Am Acad Orthop Surg, V7, P189
[3]
Harner C D, 2001, Instr Course Lect, V50, P463
[4]
IRRGANG JJ, 1993, CLIN SPORT MED, V12, P797
[5]
JOHNSON RJ, 1984, CLIN ORTHOP RELAT R, P122
[6]
Knee stability and graft function following anterior cruciate ligament reconstruction: Comparison between 11 o'clock and 10 o'clock femoral tunnel placement [J].
Loh, JC ;
Fukuda, Y ;
Tsuda, E ;
Steadman, RJ ;
Fu, FH ;
Woo, SLY .
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2003, 19 (03) :297-304
[7]
Single- versus two-femoral socket anterior cruciate ligament reconstruction technique: Biomechanical analysis using a robotic simulator [J].
Mae, T ;
Shino, K ;
Miyama, T ;
Shinjo, H ;
Ochi, T ;
Yoshikawa, H ;
Fujie, H .
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2001, 17 (07) :708-716
[8]
Anterior cruciate ligament reconstruction with autogenous patellar tendon graft followed by accelerated rehabilitation - A two- to nine-year followup [J].
Shelbourne, KD ;
Gray, T .
AMERICAN JOURNAL OF SPORTS MEDICINE, 1997, 25 (06) :786-795
[9]
Primary- and revision-reconstruction of the anterior cruciate ligament with allografts: A retrospective study including 325 patients [J].
Siebold, R ;
Buelow, JU ;
Boes, L ;
Ellermann, A .
ZENTRALBLATT FUR CHIRURGIE, 2002, 127 (10) :850-854
[10]
The effectiveness of reconstruction of the anterior cruciate ligament with hamstrings and patellar tendon - A cadaveric study comparing anterior tibial and rotational loads [J].
Woo, SLY ;
Kanamori, A ;
Zeminski, J ;
Yagi, M ;
Papageorgiou, C ;
Fu, FH .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2002, 84A (06) :907-914