Anterior cruciate ligament reconstruction with 70° arthroscope and flexible reamers – Early operative experience

2.50
Hdl Handle:
http://hdl.handle.net/11287/617301
Title:
Anterior cruciate ligament reconstruction with 70° arthroscope and flexible reamers – Early operative experience
Authors:
Mandalia, Vipul; Kosy, Jonathan D.
Abstract:
Anatomical graft position for anterior cruciate ligament (ACL) reconstruction is desirable. However, visualisation and positioning are challenges with the standard technique. It is known that graft integration can be improved by maximising femoral tunnel length and graft failure reduced by limiting bending angle. We planned to evaluate the use of new techniques whilst monitoring femoral tunnel length and angle. A 70° arthroscope, through the anterolateral portal, provided improved footprint visualisation without the need to switch to a medial portal. A flexible reamer system created the femoral tunnel without hyperflexion of the knee. Femoral tunnel length was measured intra-operatively using the graduations on the reamer, and femoral tunnel angle was assessed on the post-operative radiograph (using a digital measuring tool). In a single-surgeon, consecutive series, 55 patients were treated. When compared to the surgeon's 65 previous cases, femoral tunnel length increased significantly by 3.11 mm (40.1 (±3.49)° vs. 36.9 (±3.87)°; p < 0.05) with no significant change in femoral tunnel angle (37.8 (±4.97) mm vs. 39.6 (±5.11) mm; p = 0.075). We discuss this technique with reference to potential advantages and disadvantages of this technology.
Citation:
Anterior cruciate ligament reconstruction with 70° arthroscope and flexible reamers – Early operative experience 2016, 3(2): 51-55 Journal of Arthroscopy and Joint Surgery
Publisher:
Elsevier
Journal:
Journal of Arthroscopy and Joint Surgery
Issue Date:
13-Jul-2016
URI:
http://hdl.handle.net/11287/617301
DOI:
10.1016/j.jajs.2016.06.002
Additional Links:
http://linkinghub.elsevier.com/retrieve/pii/S221496351630027X
Type:
Journal Article
Language:
en
ISSN:
22149635
Appears in Collections:
General Trauma & Orthopaedics; Exeter Knee Reconstruction Unit (EKRU); 2016 RD&E publications

Full metadata record

DC FieldValue Language
dc.contributor.authorMandalia, Vipulen
dc.contributor.authorKosy, Jonathan D.en
dc.date.accessioned2016-07-21T09:44:38Z-
dc.date.available2016-07-21T09:44:38Z-
dc.date.issued2016-07-13-
dc.identifier.citationAnterior cruciate ligament reconstruction with 70° arthroscope and flexible reamers – Early operative experience 2016, 3(2): 51-55 Journal of Arthroscopy and Joint Surgeryen
dc.identifier.issn22149635-
dc.identifier.doi10.1016/j.jajs.2016.06.002-
dc.identifier.urihttp://hdl.handle.net/11287/617301-
dc.description.abstractAnatomical graft position for anterior cruciate ligament (ACL) reconstruction is desirable. However, visualisation and positioning are challenges with the standard technique. It is known that graft integration can be improved by maximising femoral tunnel length and graft failure reduced by limiting bending angle. We planned to evaluate the use of new techniques whilst monitoring femoral tunnel length and angle. A 70° arthroscope, through the anterolateral portal, provided improved footprint visualisation without the need to switch to a medial portal. A flexible reamer system created the femoral tunnel without hyperflexion of the knee. Femoral tunnel length was measured intra-operatively using the graduations on the reamer, and femoral tunnel angle was assessed on the post-operative radiograph (using a digital measuring tool). In a single-surgeon, consecutive series, 55 patients were treated. When compared to the surgeon's 65 previous cases, femoral tunnel length increased significantly by 3.11 mm (40.1 (±3.49)° vs. 36.9 (±3.87)°; p < 0.05) with no significant change in femoral tunnel angle (37.8 (±4.97) mm vs. 39.6 (±5.11) mm; p = 0.075). We discuss this technique with reference to potential advantages and disadvantages of this technology.en
dc.language.isoenen
dc.publisherElsevieren
dc.relation.urlhttp://linkinghub.elsevier.com/retrieve/pii/S221496351630027Xen
dc.rightsArchived with thanks to Journal of Arthroscopy and Joint Surgeryen
dc.subjectWessex Classification Subject Headings::Orthopaedicsen
dc.titleAnterior cruciate ligament reconstruction with 70° arthroscope and flexible reamers – Early operative experienceen
dc.typeJournal Articleen
dc.identifier.journalJournal of Arthroscopy and Joint Surgeryen
dc.type.versionIn press (epub ahead of print)en
All Items in RD&E Research Repository are protected by copyright, with all rights reserved, unless otherwise indicated.