Superior graft maturation after anatomical double-bundle anterior cruciate ligament reconstruction using the transtibial drilling technique compared to the transportal technique
Superior graft maturation after anatomical double-bundle anterior cruciate ligament reconstruction using the transtibial drilling technique compared to the transportal technique
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DOI：
10.1007/s00167-018-5240-8
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发表时间：
2019-08-01
影响因子：
3.8
通讯作者：
Nakagawa, Koichi
中科院分区：
文献类型：
--
作者：
Saito, Masahiko;Nakajima, Arata;Nakagawa, Koichi
目的评价和比较股骨隧道口位置，移植物弯曲角度和磁共振成像（MRI）移植物信号强度的解剖双束前交叉韧带（ACL）重建后，经胫骨和经股隧道的隧道钻孔技术之间。本回顾性研究纳入了2012年1月至2014年12月期间使用自体腘绳肌腱移植物进行的束状ACL重建。41例患者使用经皮技术（TP组）进行重建，46例患者使用经胫骨技术（TT组）进行重建。术后2周行透明三维CT扫描，测量股骨前内侧孔（AM）位置和移植物弯曲角度。术后6个月和12个月，在斜冠状面进行质子密度加权成像MRI评估。计算两个特定移植部位（股骨隧道部位和中间物质部位）的信噪比。股骨孔的位置，移植物弯曲角度和信号/噪声商之间的TP和TT group.ResultsThere是没有显着差异，在两组之间的孔的位置。TP组中AM隧道在轴向平面内的移植物弯曲角度显著更大（p
PurposeTo evaluate and compare the femoral tunnel aperture position, graft bending angle and the magnetic resonance imaging (MRI) graft signal intensity after anatomical double-bundle anterior cruciate ligament (ACL) reconstruction between transtibial and transportal drilling techniques of the femoral tunnel.MethodsEighty-seven patients who underwent anatomic double-bundle ACL reconstruction with hamstring tendon autograft between January 2012 and December 2014 were included in this retrospective study. Forty-one patients underwent reconstruction using a transportal technique (TP group) and 46 patients underwent reconstruction using a transtibial technique (TT group). The anteromedial (AM) femoral aperture position and the graft bending angle were assessed using transparent three-dimensional CT 2weeks postoperatively. MRI assessment was performed with proton density-weighted images in an oblique coronal plane 6 and 12 months postoperatively. Signal/noise quotient was calculated for two specific graft sites (femoral tunnel site and mid-substance site). Femoral aperture position, the graft bending angle and signal/noise quotient were compared between the TP and TT groups.ResultsThere was no significant difference in the aperture position between the two groups. The graft bending angle of the AM tunnel in the axial plane was significantly greater in the TP group (p