Bone tunnel enlargement after anterior cruciate ligament reconstruction.
- Author:
Jin Hwan AHN
1
;
Kwon Ik HA
;
Yoon Sung CHUNG
;
Jong Hyuk KIM
Author Information
1. Department of Orthopaedic Surgery, Samsung Medical Center Sungkyunkwan University School of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
ACL reconstruction;
autograft;
Bone-patellar tendon-bone;
Hamstring;
Bone tunnel
- MeSH:
Anterior Cruciate Ligament Reconstruction*;
Anterior Cruciate Ligament*;
Autografts;
Follow-Up Studies;
Knee
- From:The Journal of the Korean Orthopaedic Association
2001;36(3):239-244
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the bone tunnel enlargement after an anterior cruciate ligament reconstruction (ACLR), We compared the results between a group that had a bone-patellar tendon-bone (BPTB) autograft (group 1) that included the nubbin and one that had a hamstring double looped autograft (group 2). MATERIALS AND METHODS: We evaluated 120 knees over a one year follow-up period. In group 1, the tibial tunnel was completely filled with nubbin. The clinical results were evaluated using the IKDC knee rating system and a KT-2000 arthrometer. Changes in the bone tunnel width on ordinary radiographs were measured periodically. RESULTS: Clinically, there was no significant difference between the two groups. In group 2, more tunnel enlargement occured (p<0.05). ACLR that included the nubbin in the BPTB autograft showed better results in the tunnel enlargement than the others. CONCLUSION: ACLR using the nubbin at the BPTB autograft is one of the solutions available for prevention of bone tunnel enlargement after ACLR.
