This paper is only available as a PDF. To read, Please Download here.
Abstract
Seventy-five anterior cruciate ligament (ACL) reconstructions augmented with the Kennedy
Ligament Augmentation Device were evaluated according to classification of tibial
drill-hole position on the basis of the anatomic landmarks of the ACL by two-dimensional
radiographic imaging of the fully extended knee. The effects of roofplasty to avoid
graft impingement were also assessed. The tibial drill-hole position was classified
in relation to the medial intercondylar tubercle on anterior-posterior (AP) view,
and in relation to Blumensaat's line (B-line) on lateral view. Arthroscopic evaluation
of the ACL and incidence of chronic synovitis as well as Lysholm knee score, manual
knee tests, knee extension and flexion angles, and knee tester measurements were performed.
The results indicated that the knee joints in which the tibial drill hole was positioned
laterally from the medial intercondylar tubercle or in which the tibial drill hole
was positioned anteriorly to the B-line showed a tendency to develop more postoperative
chronic synovitis. The knees in which the tibial drill hole was positioned anteriorly
to the B-line also showed larger AP laxity. There was no difference between the non-roofplasty
and roofplasty groups.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to ArthroscopyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Anterior cruciate ligament reconstruction using one-third of the patellar ligament, augmented extra-articular tenon transfer.J Bone Joint Surg Am. 1982; 64: 352-359
- Functional anatomy of the anterior cruciate ligament and a rationale for reconstruction.J Bone Joint Surg Am. 1985; 67: 257-262
- Isometric placement of substitutes for the anterior cruciate ligament.in: Jackson DW Drez JR The anterior cruciate ligament deficient knee: New concepts in ligament repair. Mosby, St Louis1987: 102-113
- Factors affecting the region of most isometric femoral attachments. Part I: The anterior cruciate ligament.Am J Sports Med. 1989; 17: 208-216
- Intra-articular reconstruction of the anterior cruciate ligament.Clin Orthop. 1984; 185: 197-202
- An in vitro study of anterior cruciate graft placement and isometry.Am J Sports Med. 1988; 16: 238-243
- Ligament length relationships on the moving knee.J Orthop Res. 1988; 6: 593-610
- Serial magnetic resonance imaging of hamstring anterior cruciate ligament autografts during the first year of implantation.in: A preliminary study. Ed 2. Am J Sports Med. 19. 1991: 42-47
- A rationale for predicting anterior cruciate graft impingement by the intercondylar roof.in: A magnetic resonance imaging study. Ed 2. Am J Sports Med. 19. 1991: 276-282
- Failure of reconstruction of the anterior cruciate ligament due to impingement by the intercondylar roof.J Bone Joint Surg Am. 1993; 75: 1044-1055
- Anterior cruciate ligament reconstruction.in: The effect of tibial tunnel placement on range of motion. Ed 2. Am J Sports Med. 21. 1993: 415-418
- The anterior cruciate ligament: A technique of repair and reconstruction.Clin Orthop. 1979; 143: 97-106
- Polypropylene braid augmented and nonaugmented intraarticular anterior cruciate ligament reconstruction.Am J Sports Med. 1985; 13: 321-336
- Anterior cruciate ligament reconstruction with the Kennedy ligament augmentation device.in: Scott WN Ligament and extensor mechanism injuries of the knee. Mosby, St Louis1991: 301-310
- Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale.Am J Sports Med. 1982; 10: 150-154
- Area intercondylaris tibiae: Osseous surface structure and its relation to soft tissue structures and applications to radiography.J Anat. 1974; 117: 605-618
- Tibial tunnel placement in ACL reconstruction.Arthroscopy. 1994; 10: 124-131
Article info
Identification
Copyright
© 1995 Published by Elsevier Inc.
