ENDOSCOPIC ACL RECONSTRUCTION - A TECHNICAL NOTE ON TUNNEL LENGTH FOR INTERFERENCE FIXATION

被引:32
作者
KENNA, B [1 ]
SIMON, TM [1 ]
JACKSON, DW [1 ]
KURZWEIL, PR [1 ]
机构
[1] SO CALIF CTR SPORTS MED,LONG BEACH,CA
来源
ARTHROSCOPY | 1993年 / 9卷 / 02期
关键词
ACL; RECONSTRUCTION; GRAFT;
D O I
10.1016/S0749-8063(05)80382-2
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The total length of bone-patella tendon-bone autografts can vary significantly between individuals. Grafts that are ''too long'' may protrude from the tibial tunnel site, precluding interference screw fixation. A simple calculation can be used to estimate the length of the tibial tunnel required to accommodate the graft. An intraoperative final check can be made with a calibrated drill. This distance should accommodate the total graft length. If necessary, minor adjustments that include trimming the bone plugs or deepening the femoral osseous tunnel can be made to prevent graft protrusion.
引用
收藏
页码:228 / 230
页数:3
相关论文
共 3 条
[1]  
Daniel DM, Principles of knee ligament surgery, Knee ligaments: structure, function, injury, and repair, (1990)
[2]  
Kurosaka M, Yoshiya S, Andrish JT, A biomechanical comparison of different surgical techniques of graft fixation in anterior cruciate ligament reconstruction, Am J Sports Med, 15, pp. 225-229, (1987)
[3]  
Odenstein M, Gillquist J, Junctional anatomy of the anterior cruciate ligament and a rationale for reconstruction, J Bone Joint Surg, 67, (1985)