Anterior Cruciate Ligament Reconstruction With Preservation of Femoral Anterior Cruciate Ligament Stump
Anterior cruciate ligament (ACL) reconstruction with preservation of either the remnant or the tibial stump is performed with the hope of improving the vascularization and proprioceptive function of the graft. Remnant preservation is technically difficult because it hinders the visualization of the...
Main Authors: | , |
---|---|
Format: | Article |
Language: | English |
Published: |
Elsevier
2014-10-01
|
Series: | Arthroscopy Techniques |
Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628714000784 |
_version_ | 1818609413248778240 |
---|---|
author | Hira Lal Nag, M.S.Orth. Himanshu Gupta, M.S.Orth. |
author_facet | Hira Lal Nag, M.S.Orth. Himanshu Gupta, M.S.Orth. |
author_sort | Hira Lal Nag, M.S.Orth. |
collection | DOAJ |
description | Anterior cruciate ligament (ACL) reconstruction with preservation of either the remnant or the tibial stump is performed with the hope of improving the vascularization and proprioceptive function of the graft. Remnant preservation is technically difficult because it hinders the visualization of the intra-articular tunnel site. Taking a cue from the concept of tibial stump preservation, we have modified our ACL reconstruction technique to preserve a sleeve of the soft tissue and ACL stump attached to the femoral condyle, in addition to tibial stump preservation, while still allowing adequate visualization of the femoral ACL insertion site. We describe our modification in this article and hypothesize that this should further improve graft vascularization and ligamentization. |
first_indexed | 2024-12-16T14:58:08Z |
format | Article |
id | doaj.art-c9b1dff42eff42679f9401b9caa449bb |
institution | Directory Open Access Journal |
issn | 2212-6287 |
language | English |
last_indexed | 2024-12-16T14:58:08Z |
publishDate | 2014-10-01 |
publisher | Elsevier |
record_format | Article |
series | Arthroscopy Techniques |
spelling | doaj.art-c9b1dff42eff42679f9401b9caa449bb2022-12-21T22:27:22ZengElsevierArthroscopy Techniques2212-62872014-10-0135e575e577Anterior Cruciate Ligament Reconstruction With Preservation of Femoral Anterior Cruciate Ligament StumpHira Lal Nag, M.S.Orth.0Himanshu Gupta, M.S.Orth.1Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India; Address correspondence to H. L. Nag, M.S.Orth., Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, 110029, India.Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India; Department of Orthopaedics, Glasgow Royal Infirmary, Glasgow, ScotlandAnterior cruciate ligament (ACL) reconstruction with preservation of either the remnant or the tibial stump is performed with the hope of improving the vascularization and proprioceptive function of the graft. Remnant preservation is technically difficult because it hinders the visualization of the intra-articular tunnel site. Taking a cue from the concept of tibial stump preservation, we have modified our ACL reconstruction technique to preserve a sleeve of the soft tissue and ACL stump attached to the femoral condyle, in addition to tibial stump preservation, while still allowing adequate visualization of the femoral ACL insertion site. We describe our modification in this article and hypothesize that this should further improve graft vascularization and ligamentization.http://www.sciencedirect.com/science/article/pii/S2212628714000784 |
spellingShingle | Hira Lal Nag, M.S.Orth. Himanshu Gupta, M.S.Orth. Anterior Cruciate Ligament Reconstruction With Preservation of Femoral Anterior Cruciate Ligament Stump Arthroscopy Techniques |
title | Anterior Cruciate Ligament Reconstruction With Preservation of Femoral Anterior Cruciate Ligament Stump |
title_full | Anterior Cruciate Ligament Reconstruction With Preservation of Femoral Anterior Cruciate Ligament Stump |
title_fullStr | Anterior Cruciate Ligament Reconstruction With Preservation of Femoral Anterior Cruciate Ligament Stump |
title_full_unstemmed | Anterior Cruciate Ligament Reconstruction With Preservation of Femoral Anterior Cruciate Ligament Stump |
title_short | Anterior Cruciate Ligament Reconstruction With Preservation of Femoral Anterior Cruciate Ligament Stump |
title_sort | anterior cruciate ligament reconstruction with preservation of femoral anterior cruciate ligament stump |
url | http://www.sciencedirect.com/science/article/pii/S2212628714000784 |
work_keys_str_mv | AT hiralalnagmsorth anteriorcruciateligamentreconstructionwithpreservationoffemoralanteriorcruciateligamentstump AT himanshuguptamsorth anteriorcruciateligamentreconstructionwithpreservationoffemoralanteriorcruciateligamentstump |