A reproducible landmark for the tibial tunnel origin in anterior cruciate ligament reconstruction: Avoiding a vertical graft in the coronal plane

被引:19
作者
Raffo, Christopher S. [1 ]
Pizzarello, Peter [2 ]
Richmond, John C. [2 ,3 ]
Pathare, Neil [4 ]
机构
[1] Metro Orthoped & Sports Therapy, Silver Spring, MD 20910 USA
[2] Tufts Univ, Dept Orthopaed Surg, Medford, MA 02155 USA
[3] New England Baptist Hosp, Boston, MA USA
[4] Orthoped Serv & Sports Med Inc, Providence, RI USA
关键词
anterior cruciate ligament; tibial tunnel origin; vertical graft;
D O I
10.1016/j.arthro.2007.12.005
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
Improper tunnel placement during anterior cruciate ligament reconstruction may result in residual instability. Proper femoral tunnel orientation relies on tibial tunnel placement with a transtibial technique. Our recommended technique is to use the junction of the anterior border of the superficial medial collateral ligament and the superior border of the gracilis tendon as a reproducible anatomic landmark for the tibial tunnel. In a cadaveric model the mean angle for the tibial tunnel was 65.7 degrees +/- 5.5 degrees in the coronal plane and 75 degrees +/- 7.2 degrees in the sagittal plane. By use of the clock-face method, the mean angle for the femoral tunnel was 44.9 degrees +/- 13 degrees, or approximately the 10:30 position (for a right knee) or 1:30 position (for a left knee).
引用
收藏
页码:843 / 845
页数:3
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