Anatomical Single-bundle Anterior Cruciate Ligament Reconstruction Using a Freehand Transtibial Technique
10.5792/ksrr.2015.27.2.117
- Author:
Kyung Wook NHA
1
;
Jae Hwi HAN
;
Jae Ho KWON
;
Kyung Woon KANG
;
Hyung Joon PARK
;
Jae Gwang SONG
Author Information
1. Department of Orthopaedic Surgery, Inje University Ilsan Paik Hospital, Goyang, Korea. sjgwang@naver.com
- Publication Type:Original Article
- Keywords:
Anterior cruciate ligament;
Reconstruction;
Single-bundle;
Transtibial technique
- MeSH:
Anterior Cruciate Ligament;
Anterior Cruciate Ligament Reconstruction;
Follow-Up Studies;
Humans;
Knee;
Tomography, X-Ray Computed
- From:The Journal of Korean Knee Society
2015;27(2):117-122
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: In anatomical single-bundle (SB) anterior cruciate ligament (ACL) reconstruction, the traditional transtibial approach can limit anatomical placement of the femoral tunnel. SURGICAL TECHNIQUE: We present a novel three-point freehand technique that allows for anatomic SB ACL reconstruction with the transtibial technique. MATERIALS AND METHODS: Between January 2012 and December 2012, 55 ACL reconstructions were performed using the three-point freehand technique. All the patients were followed for a minimum of 12 months post-operatively. Clinical evaluation was done using the Lysholm score and International Knee Documentation Committee (IKDC) grade. All patients were analyzed by 3-dimensional computed tomography (3D CT) at 1 week after surgery. RESULTS: The mean Lysholm score improved from 68.2+/-12.7 points preoperatively to 89.2+/-8.2 points at final follow-up. At final follow-up, the IKDC grade was normal in 42 patients and nearly normal in 13 patients. None of the patients had a positive pivot shift test, anterior drawer test and Lachman test at final follow-up. The anatomical position of the femoral tunnel was confirmed on 3D CT scans. CONCLUSIONS: The three-point freehand technique for SB transtibial ACL reconstruction is a simple, anatomic technique showing good clinical results.
