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Comparison of the Modified Transtibial Technique, Anteromedial Portal Technique and Outside-in Technique in ACL Reconstruction
To compare clinical and radiographic results of anterior cruciate ligament (ACL) reconstruction using modified transtibial technique (mTT), anteromedial (AM) portal technique and outside-in (OI) technique. From March 2007 to December 2012, ACL reconstruction was performed using the mTT, AM portal te...
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Published in: | Knee Surgery and Related Research, 26(4) 2014, 26(4), , pp.241-248 |
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creator | Sohn, Oog Jin Lee, Dong Chul Park, Kang Hyun Ahn, Hyo Sae |
description | To compare clinical and radiographic results of anterior cruciate ligament (ACL) reconstruction using modified transtibial technique (mTT), anteromedial (AM) portal technique and outside-in (OI) technique.
From March 2007 to December 2012, ACL reconstruction was performed using the mTT, AM portal technique and OI technique in 20 patients each. Anteroposterior and rotational stability were assessed using the GNRB arthrometer and pivot-shift test. Femoral tunnel obliquity was measured on the anteroposterior and lateral radiographs.
Tegner score, Lysholm score, International Knee Documentation Committee score, pivot-shift test were improved at final follow-up in all three groups. However, statistical difference was not shown. Side-to-side difference in GNRB arthrometer was average of 1.4 mm, 1.0 mm and 0.9 mm in mTT, AM and OI group, showing the signicant difference between mTT and AM/OI groups (p |
doi_str_mv | 10.5792/ksrr.2014.26.4.241 |
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From March 2007 to December 2012, ACL reconstruction was performed using the mTT, AM portal technique and OI technique in 20 patients each. Anteroposterior and rotational stability were assessed using the GNRB arthrometer and pivot-shift test. Femoral tunnel obliquity was measured on the anteroposterior and lateral radiographs.
Tegner score, Lysholm score, International Knee Documentation Committee score, pivot-shift test were improved at final follow-up in all three groups. However, statistical difference was not shown. Side-to-side difference in GNRB arthrometer was average of 1.4 mm, 1.0 mm and 0.9 mm in mTT, AM and OI group, showing the signicant difference between mTT and AM/OI groups (p<0.001). The mean femoral tunnel obliquity was 56.4° in the mTT group, 39.4° in the AM group and 33.6° in the OI group, showing significant intergroup difference (p<0.001). It showed the significant difference among three groups (p<0.001).
Clinical results were improved in all three groups. Femoral tunnel obliquity in AM and OI were more horizontal on the coronal plane. They are thought to have more benefits in oblique positioning of the grafted ACL in rotational stability; however, there was no significant difference among three techniques in pivot-shift test to assess the rotational stability in this study.</description><identifier>ISSN: 2234-0726</identifier><identifier>ISSN: 1225-1623</identifier><identifier>EISSN: 2234-2451</identifier><identifier>DOI: 10.5792/ksrr.2014.26.4.241</identifier><identifier>PMID: 25505707</identifier><language>eng</language><publisher>Korea (South): The Korean Knee Society</publisher><subject>Original ; 정형외과학</subject><ispartof>Knee Surgery and Related Research, 2014, 26(4), , pp.241-248</ispartof><rights>Copyright © 2014 KOREAN KNEE SOCIETY 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3511-6145244f372734eaa8125062509f287cedf4697ec455724eb3c08924608a08a33</citedby><cites>FETCH-LOGICAL-c3511-6145244f372734eaa8125062509f287cedf4697ec455724eb3c08924608a08a33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4258492/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4258492/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25505707$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART001931270$$DAccess content in National Research Foundation of Korea (NRF)$$Hfree_for_read</backlink></links><search><creatorcontrib>Sohn, Oog Jin</creatorcontrib><creatorcontrib>Lee, Dong Chul</creatorcontrib><creatorcontrib>Park, Kang Hyun</creatorcontrib><creatorcontrib>Ahn, Hyo Sae</creatorcontrib><title>Comparison of the Modified Transtibial Technique, Anteromedial Portal Technique and Outside-in Technique in ACL Reconstruction</title><title>Knee Surgery and Related Research, 26(4)</title><addtitle>Knee Surg Relat Res</addtitle><description>To compare clinical and radiographic results of anterior cruciate ligament (ACL) reconstruction using modified transtibial technique (mTT), anteromedial (AM) portal technique and outside-in (OI) technique.
From March 2007 to December 2012, ACL reconstruction was performed using the mTT, AM portal technique and OI technique in 20 patients each. Anteroposterior and rotational stability were assessed using the GNRB arthrometer and pivot-shift test. Femoral tunnel obliquity was measured on the anteroposterior and lateral radiographs.
Tegner score, Lysholm score, International Knee Documentation Committee score, pivot-shift test were improved at final follow-up in all three groups. However, statistical difference was not shown. Side-to-side difference in GNRB arthrometer was average of 1.4 mm, 1.0 mm and 0.9 mm in mTT, AM and OI group, showing the signicant difference between mTT and AM/OI groups (p<0.001). The mean femoral tunnel obliquity was 56.4° in the mTT group, 39.4° in the AM group and 33.6° in the OI group, showing significant intergroup difference (p<0.001). It showed the significant difference among three groups (p<0.001).
Clinical results were improved in all three groups. Femoral tunnel obliquity in AM and OI were more horizontal on the coronal plane. They are thought to have more benefits in oblique positioning of the grafted ACL in rotational stability; however, there was no significant difference among three techniques in pivot-shift test to assess the rotational stability in this study.</description><subject>Original</subject><subject>정형외과학</subject><issn>2234-0726</issn><issn>1225-1623</issn><issn>2234-2451</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNpVUU1rGzEQFSWlCWn-QA9Fxwa6rjT62r0UjGk-wCUluGcha7W16rXkSLuFXvLbI8dOcIQ0I828eaPhIfSJkolQDXxb55QmQCifgJwUw-k7dAbAeAVc0JPDnSiQp-gi57-kLEloLeQHdApCEKGIOkOPs7jZmuRzDDh2eFg5_DO2vvOuxYtkQh780pseL5xdBf8wuq94GgaX4sa1u_ivmIbjNDahxXfjkH3rKh-OEuUxnc3xvbOxsKbRDj6Gj-h9Z_rsLg7-HP2--rGY3VTzu-vb2XReWSYorSTlAjjvmALFuDOmpiCILKfpoFbWtR2XjXKWC6GAuyWzpG6AS1Kbshk7R5d73pA6vbZeR-Of_Z-o10lP7xe3mlLJSMML9vseux2XZUrrwpBMr7fJb0z6_1z5NhP8qvD80xxEzRsoBF8OBCmWyfOgNz5b1_cmuDhmXfoowZsGSIHCHmpTzDm57rUNJXqns97prHc6a5C6GE5L0efjD76WvKjKngCXvqTu</recordid><startdate>20141201</startdate><enddate>20141201</enddate><creator>Sohn, Oog Jin</creator><creator>Lee, Dong Chul</creator><creator>Park, Kang Hyun</creator><creator>Ahn, Hyo Sae</creator><general>The Korean Knee Society</general><general>대한슬관절학회</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>ACYCR</scope></search><sort><creationdate>20141201</creationdate><title>Comparison of the Modified Transtibial Technique, Anteromedial Portal Technique and Outside-in Technique in ACL Reconstruction</title><author>Sohn, Oog Jin ; Lee, Dong Chul ; Park, Kang Hyun ; Ahn, Hyo Sae</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3511-6145244f372734eaa8125062509f287cedf4697ec455724eb3c08924608a08a33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Original</topic><topic>정형외과학</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sohn, Oog Jin</creatorcontrib><creatorcontrib>Lee, Dong Chul</creatorcontrib><creatorcontrib>Park, Kang Hyun</creatorcontrib><creatorcontrib>Ahn, Hyo Sae</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Korean Citation Index</collection><jtitle>Knee Surgery and Related Research, 26(4)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sohn, Oog Jin</au><au>Lee, Dong Chul</au><au>Park, Kang Hyun</au><au>Ahn, Hyo Sae</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of the Modified Transtibial Technique, Anteromedial Portal Technique and Outside-in Technique in ACL Reconstruction</atitle><jtitle>Knee Surgery and Related Research, 26(4)</jtitle><addtitle>Knee Surg Relat Res</addtitle><date>2014-12-01</date><risdate>2014</risdate><volume>26</volume><issue>4</issue><spage>241</spage><epage>248</epage><pages>241-248</pages><issn>2234-0726</issn><issn>1225-1623</issn><eissn>2234-2451</eissn><abstract>To compare clinical and radiographic results of anterior cruciate ligament (ACL) reconstruction using modified transtibial technique (mTT), anteromedial (AM) portal technique and outside-in (OI) technique.
From March 2007 to December 2012, ACL reconstruction was performed using the mTT, AM portal technique and OI technique in 20 patients each. Anteroposterior and rotational stability were assessed using the GNRB arthrometer and pivot-shift test. Femoral tunnel obliquity was measured on the anteroposterior and lateral radiographs.
Tegner score, Lysholm score, International Knee Documentation Committee score, pivot-shift test were improved at final follow-up in all three groups. However, statistical difference was not shown. Side-to-side difference in GNRB arthrometer was average of 1.4 mm, 1.0 mm and 0.9 mm in mTT, AM and OI group, showing the signicant difference between mTT and AM/OI groups (p<0.001). The mean femoral tunnel obliquity was 56.4° in the mTT group, 39.4° in the AM group and 33.6° in the OI group, showing significant intergroup difference (p<0.001). It showed the significant difference among three groups (p<0.001).
Clinical results were improved in all three groups. Femoral tunnel obliquity in AM and OI were more horizontal on the coronal plane. They are thought to have more benefits in oblique positioning of the grafted ACL in rotational stability; however, there was no significant difference among three techniques in pivot-shift test to assess the rotational stability in this study.</abstract><cop>Korea (South)</cop><pub>The Korean Knee Society</pub><pmid>25505707</pmid><doi>10.5792/ksrr.2014.26.4.241</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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title | Comparison of the Modified Transtibial Technique, Anteromedial Portal Technique and Outside-in Technique in ACL Reconstruction |
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