CT Based Analysis of Arthroscopic Femoral Tunnel Placement in Single Bundle Primary ACL Reconstruction Using Medial Portal Technique
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 3
Abstract
Background: Achieving anatomical graft placement remains one of the major challenges in ACL reconstruction. In this study we analyzed the anatomic femoral tunnel placement of single bundle endoscopic ACL reconstruction by the medial portal technique using 3D CT reconstruction. Materials & Methods: This cross - sectional observational study was performed on 35 consecutive cases of ACL injury presenting over a period of one year. Post-operatively analysis of femoral tunnel placement was done using Mochizuki’s method. The data recorded was subjected to standard statistical analysis. Results: Our study had 29 males and 6 females between 20-50 years of age. In accord with the variance from anatomical position of femoral tunnel by Mochizuki’s method expressed as percentage {38.7% ± 2.7% as reported by Mochizuki et al}, 18(52%) patients were within the percentage group of 35-39.9. Between the percentage group of 40-44.9 there were 10(29%) patients while 4(11%) were between the percentage group of 30-34.9 and only 3(8%) patients were between 45-50. Conclusions: The use of medial portal technique allows anatomical ACL tunnel placement. This technique is not limited by the choice of graft or fixation and offers the advantage of true parallel screw placement through the same portal as that used for tunnel drilling in the case of interference fixation. The anteromedial portal technique helps in accurate position of the native footprint in ACL reconstruction.
Authors and Affiliations
Ahmed Abdul Ghaffar, Atul Agrawal, Rajesh Maheshwari, Shailender Raghuvanshi
Keywords
Related Articles
- EP ID EP599008
- DOI 10.9790/0853-1603084347.
- Views 100
- Downloads 0
“A Study of Tru-Cut Biopsy and Fnac in a Clinically Palpable Breast Lump"
Background: Breast i s host to many di seases which range f rom benign and mal ignant n e o p l a s m ’ s , i n f l a m m a t o r y c o n d i t i o n s t o i n f e c t i o n s , m o s t o f w h i c h p r e s e n t a s l...
Liver function in patients with liver diseases: A CT based study
Prospective study of the ability of laboratory tests and liver imaging tests to detect hepatic diagnosis was performed.100 patients with evidence of abnormal liver function (LFT) test were tested for correlation between...
Effect of Essential Phospholipids and Statin on Non Alcoholic Fatty Liver Disease in Rats Induced Periodontitis
NAFLD is the most common form of chronic liver disease, it is the hepatic manifestation of metabolic syndrome. Periodontal disease may helpfully increase the risk of progression from NAFL to NASH. Effective strategies ar...
Retrieval of Fractured Endodontic Instrument from Root Canal of Mandibular Molar Using Ultrasonic Technique: A Case Report
During Endodontic Treatment, Clinicians May Face Endodontic Procedural Mishaps Such As Broken Instruments. This Condition Is Associated With Potential Risk Of Contamination, Which Compromises The Healing Process. Managem...
“Nd: YAGsweep”: An office-based procedure to clear IOL deposits.
Objective: To evaluate the efficacy of Nd: YAG laser in clearing the deposits on anterior surface of intra ocular lens(IOL). Methods:Ten eyes of 10 patients who had pigment deposits on IOL post cataract surgery were incl...