THE EFFECTS OF TIBIAL TUNNEL PLACEMENT AND ROOFPLASTY ON RECONSTRUCTED ANTERIOR CRUCIATE LIGAMENT KNEES

被引：78

作者：

MUNETA, T

YAMAMOTO, H

ISHIBASHI, T

ASAHINA, S

MURAKAMI, S

FURUYA, K

机构：

[1] Department of Orthopaedic Surgery, Tokyo Medical and Dental University, Tokyo

来源：

ARTHROSCOPY | 1995年 / 11卷 / 01期

关键词：

ACL RECONSTRUCTION; ACL ANATOMY; TIBIAL DRILL HOLE; ROOFPLASTY; 2ND-LOOK ARTHROSCOPY;

D O I：

10.1016/0749-8063(95)90089-6

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：

Seventy-five anterior cruciate ligament (ACL) reconstructions augmented with the Kennedy Ligament Augmentation Device were evaluated according to classification of tibial drill-hole position on the basis of the anatomic landmarks of the ACL by two-dimensional radiographic imaging of the fully extended knee. The effects of roofplasty to avoid graft impingement were also assessed. The tibial drill-hole position was classified in relation to the medial intercondylar tubercle on anterior-posterior (AP) view, and in relation to Blumensaat' a line (B-line) on lateral view. Arthroscopic evaluation of the ACL and incidence of chronic synovitis as well as Lysholm knee score, manual knee tests, knee extension and flexion angles, and knee tester measurements were performed. The results indicated that the knee joints in which the tibial drill hole was positioned laterally from the medial intercondylar tubercle or in which the tibial drill hole was positioned anteriorly to the B-Line showed a tendency to develop more postoperative chronic synovitis. The knees in which the tibial drill hole was positioned anteriorly to the B-line also showed larger AP laxity. There was no difference between the non-roofplasty and roofplasty groups.

引用

页码：57 / 62

页数：6

共 17 条

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