Minimal Ablation of the Tibial Stump Using Bony Landmarks Improved Stability and Synovial Coverage Following Double-Bundle Anterior Cruciate Ligament Reconstruction
- Author:
Yuya KODAMA
1
;
Takayuki FURUMATSU
;
Tomohito HINO
;
Yusuke KAMATSUKI
;
Toshifumi OZAKI
Author Information
- Publication Type:Original Article
- Keywords: Knee; Anterior cruciate ligament; Reconstruction; Double-Bundle; Tibial bony landmark
- MeSH: Anterior Cruciate Ligament Reconstruction; Anterior Cruciate Ligament; Arthroscopy; Humans; Knee; Knee Joint; Retrospective Studies; Transplants
- From:The Journal of Korean Knee Society 2018;30(4):348-355
- CountryRepublic of Korea
- Language:English
- Abstract: PURPOSE: To evaluate the clinical effects of using anatomical bony landmarks (Parsons' knob and the medial intercondylar ridge) and minimal ablation of the tibial footprint to improve knee anterior instability and synovial graft coverage after double-bundle anterior cruciate ligament reconstruction. MATERIALS AND METHODS: We performed a retrospective comparison of outcomes between patients who underwent reconstruction with minimal ablation of the tibial footprint, using an anatomical tibial bony landmark technique, and those who underwent reconstruction with wide ablation of the tibial footprint. Differences between the two groups were evaluated using second-look arthroscopy, radiological assessment of the tunnel position, postoperative anterior knee joint laxity, and clinical outcomes. RESULTS: Use of the anatomical reference and minimal ablation of the tibial footprint resulted in a more anterior positioning of the tibial tunnel, with greater synovial coverage of the graft postoperatively (p=0.01), and improved anterior stability of the knee on second-look arthroscopy. Both groups had comparable clinical outcomes. CONCLUSIONS: Use of anatomical tibial bony landmarks that resulted in a more anteromedial tibial tunnel position improved anterior knee laxity, and minimal ablation improved synovial coverage of the graft; however, it did not significantly improve subjective and functional short-term outcomes.
