INTRAARTICULAR PLACEMENT OF KUROSAKA INTERFERENCE SCREWS

被引:8
作者
FRANCO, MG
BACH, BR
BUSHJOSEPH, CA
机构
[1] RUSH MED COLL, DEPT ORTHOPAED SURG, SPORTS MED SECT, CHICAGO, IL 60612 USA
[2] IMMANEUEL HOSP, DEPT ORTHOPAED, SPORTS MED SECT, OMAHA, NE USA
关键词
INTERFERENCE SCREW FIXATION; ANTERIOR CRUCIATE LIGAMENT SURGERY;
D O I
10.1016/S0749-8063(05)80192-6
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
Interference screws are commonly used for graft fixation in arthroscopically assisted anterior cruciate ligament reconstruction. A potential complication with the use of interference screws is intraarticular violation of the screw tip. Postoperative radiographs often lend confusion to the exact screw location. We devised an anatomic-radiologic study to evaluate factors (including local anatomy, radiographic projection and radiographic, technique) in order to clarify these misunderstandings. We found that radiographic projection, obliquity, and the local bony anatomy contribute to erroneous radiographic interpretation. The most significant finding was that the lateral radiograph and cephalad oblique lateral radiographs frequently suggest screw tip violation of the joint when in fact it has not occurred. Caudal oblique lateral radiographs fail to raise concern even when joint violation by the screw tip has occurred. Good quality true anteroposterior radiographs appear most consistent in determining true screw tip location.
引用
收藏
页码:412 / 417
页数:6
相关论文
共 8 条
[1]
BACH BR, 1989, AM J KNEE SURG, V2, P76
[2]
Bach BR, 1989, AM J KNEE SURG, V2, P3
[3]
DANIEL DM, 1987, ANTERIOR CRUCIATE DE, P114
[4]
A BIOMECHANICAL COMPARISON OF DIFFERENT SURGICAL TECHNIQUES OF GRAFT FIXATION IN ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION [J].
KUROSAKA, M ;
YOSHIYA, S ;
ANDRISH, JT .
AMERICAN JOURNAL OF SPORTS MEDICINE, 1987, 15 (03) :225-229
[5]
MATTHEWS L S, 1989, Arthroscopy, V5, P225, DOI 10.1016/0749-8063(89)90177-1
[6]
NOYES FR, 1983, CLIN ORTHOP RELAT R, P71
[7]
BIOMECHANICAL ANALYSIS OF HUMAN LIGAMENT GRAFTS USED IN KNEE-LIGAMENT REPAIRS AND RECONSTRUCTIONS [J].
NOYES, FR ;
BUTLER, DL ;
GROOD, ES ;
ZERNICKE, RF ;
HEFZY, MS .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1984, 66A (03) :344-352
[8]
PAULOS LE, 1983, CLIN ORTHOP RELAT R, V172, P78