Anterior Cruciate Ligament Reconstruction With Bone–Patellar Tendon–Bone Graft Through a Rectangular Bone Tunnel Made With a Rectangular Retro-dilator: An Operative Technique
Good clinical results have been reported with anatomic anterior cruciate ligament (ACL) reconstructions in which rectangular bone–patellar tendon–bone (BTB) grafts were fixed into rectangular bone tunnels made at anatomic ACL insertion sites of the femur and tibia (anatomic rectangular tunnel BTB AC...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2017-08-01
|
| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628717300786 |
| _version_ | 1818595586208694272 |
|---|---|
| author | Hiroteru Hayashi, M.D. Daisaburo Kurosaka, M.D. Mitsuru Saito, M.D. Ryo Ikeda, M.D. Eiji Kijima, M.D. Yu Yamashita, M.D. Keishi Marumo, M.D. |
| author_facet | Hiroteru Hayashi, M.D. Daisaburo Kurosaka, M.D. Mitsuru Saito, M.D. Ryo Ikeda, M.D. Eiji Kijima, M.D. Yu Yamashita, M.D. Keishi Marumo, M.D. |
| author_sort | Hiroteru Hayashi, M.D. |
| collection | DOAJ |
| description | Good clinical results have been reported with anatomic anterior cruciate ligament (ACL) reconstructions in which rectangular bone–patellar tendon–bone (BTB) grafts were fixed into rectangular bone tunnels made at anatomic ACL insertion sites of the femur and tibia (anatomic rectangular tunnel BTB ACL reconstruction). Notwithstanding these good results, some problems have remained unsolved, including procedural complexity and risk of damage to the femoral posterior tunnel wall, damage to nerves and blood vessels, and damage to cartilage. The purpose of this report is to present our technique of ACL reconstruction with BTB graft through a rectangular bone tunnel made with a rectangular retro-dilator. Our procedure may become a safe option for anatomic rectangular tunnel BTB ACL reconstruction because of the following advantages: (1) bone tunnels can be created more safely and accurately than in methods using transtibial and far medial portals, (2) the bone tunnel preparation procedure is less invasive than the standard outside-in method, (3) technical failure–related risks are lower because the guidewire is inserted only once, and (4) the operation time is shorter because the method is a single-bundle procedure. |
| first_indexed | 2024-12-16T11:18:22Z |
| format | Article |
| id | doaj.art-ade724da92ce4803997c5e066334ce31 |
| institution | Directory Open Access Journal |
| issn | 2212-6287 |
| language | English |
| last_indexed | 2024-12-16T11:18:22Z |
| publishDate | 2017-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj.art-ade724da92ce4803997c5e066334ce312022-12-21T22:33:32ZengElsevierArthroscopy Techniques2212-62872017-08-0164e1057e1062Anterior Cruciate Ligament Reconstruction With Bone–Patellar Tendon–Bone Graft Through a Rectangular Bone Tunnel Made With a Rectangular Retro-dilator: An Operative TechniqueHiroteru Hayashi, M.D.0Daisaburo Kurosaka, M.D.1Mitsuru Saito, M.D.2Ryo Ikeda, M.D.3Eiji Kijima, M.D.4Yu Yamashita, M.D.5Keishi Marumo, M.D.6Address correspondence to Hiroteru Hayashi, M.D., Department of Orthopaedic Surgery, Jikei University School of Medicine, 3-25-8 Nishishinbashi Minato-ku, Tokyo 105-8461, Japan.; Department of Orthopaedic Surgery, Jikei University School of Medicine, Minato, JapanDepartment of Orthopaedic Surgery, Jikei University School of Medicine, Minato, JapanDepartment of Orthopaedic Surgery, Jikei University School of Medicine, Minato, JapanDepartment of Orthopaedic Surgery, Jikei University School of Medicine, Minato, JapanDepartment of Orthopaedic Surgery, Jikei University School of Medicine, Minato, JapanDepartment of Orthopaedic Surgery, Jikei University School of Medicine, Minato, JapanDepartment of Orthopaedic Surgery, Jikei University School of Medicine, Minato, JapanGood clinical results have been reported with anatomic anterior cruciate ligament (ACL) reconstructions in which rectangular bone–patellar tendon–bone (BTB) grafts were fixed into rectangular bone tunnels made at anatomic ACL insertion sites of the femur and tibia (anatomic rectangular tunnel BTB ACL reconstruction). Notwithstanding these good results, some problems have remained unsolved, including procedural complexity and risk of damage to the femoral posterior tunnel wall, damage to nerves and blood vessels, and damage to cartilage. The purpose of this report is to present our technique of ACL reconstruction with BTB graft through a rectangular bone tunnel made with a rectangular retro-dilator. Our procedure may become a safe option for anatomic rectangular tunnel BTB ACL reconstruction because of the following advantages: (1) bone tunnels can be created more safely and accurately than in methods using transtibial and far medial portals, (2) the bone tunnel preparation procedure is less invasive than the standard outside-in method, (3) technical failure–related risks are lower because the guidewire is inserted only once, and (4) the operation time is shorter because the method is a single-bundle procedure.http://www.sciencedirect.com/science/article/pii/S2212628717300786 |
| spellingShingle | Hiroteru Hayashi, M.D. Daisaburo Kurosaka, M.D. Mitsuru Saito, M.D. Ryo Ikeda, M.D. Eiji Kijima, M.D. Yu Yamashita, M.D. Keishi Marumo, M.D. Anterior Cruciate Ligament Reconstruction With Bone–Patellar Tendon–Bone Graft Through a Rectangular Bone Tunnel Made With a Rectangular Retro-dilator: An Operative Technique Arthroscopy Techniques |
| title | Anterior Cruciate Ligament Reconstruction With Bone–Patellar Tendon–Bone Graft Through a Rectangular Bone Tunnel Made With a Rectangular Retro-dilator: An Operative Technique |
| title_full | Anterior Cruciate Ligament Reconstruction With Bone–Patellar Tendon–Bone Graft Through a Rectangular Bone Tunnel Made With a Rectangular Retro-dilator: An Operative Technique |
| title_fullStr | Anterior Cruciate Ligament Reconstruction With Bone–Patellar Tendon–Bone Graft Through a Rectangular Bone Tunnel Made With a Rectangular Retro-dilator: An Operative Technique |
| title_full_unstemmed | Anterior Cruciate Ligament Reconstruction With Bone–Patellar Tendon–Bone Graft Through a Rectangular Bone Tunnel Made With a Rectangular Retro-dilator: An Operative Technique |
| title_short | Anterior Cruciate Ligament Reconstruction With Bone–Patellar Tendon–Bone Graft Through a Rectangular Bone Tunnel Made With a Rectangular Retro-dilator: An Operative Technique |
| title_sort | anterior cruciate ligament reconstruction with bone patellar tendon bone graft through a rectangular bone tunnel made with a rectangular retro dilator an operative technique |
| url | http://www.sciencedirect.com/science/article/pii/S2212628717300786 |
| work_keys_str_mv | AT hiroteruhayashimd anteriorcruciateligamentreconstructionwithbonepatellartendonbonegraftthrougharectangularbonetunnelmadewitharectangularretrodilatoranoperativetechnique AT daisaburokurosakamd anteriorcruciateligamentreconstructionwithbonepatellartendonbonegraftthrougharectangularbonetunnelmadewitharectangularretrodilatoranoperativetechnique AT mitsurusaitomd anteriorcruciateligamentreconstructionwithbonepatellartendonbonegraftthrougharectangularbonetunnelmadewitharectangularretrodilatoranoperativetechnique AT ryoikedamd anteriorcruciateligamentreconstructionwithbonepatellartendonbonegraftthrougharectangularbonetunnelmadewitharectangularretrodilatoranoperativetechnique AT eijikijimamd anteriorcruciateligamentreconstructionwithbonepatellartendonbonegraftthrougharectangularbonetunnelmadewitharectangularretrodilatoranoperativetechnique AT yuyamashitamd anteriorcruciateligamentreconstructionwithbonepatellartendonbonegraftthrougharectangularbonetunnelmadewitharectangularretrodilatoranoperativetechnique AT keishimarumomd anteriorcruciateligamentreconstructionwithbonepatellartendonbonegraftthrougharectangularbonetunnelmadewitharectangularretrodilatoranoperativetechnique |