Palestino-Lara M, Valles Figueroa JF, Olguín Rodríguez M* and Zapata Rivera S

Spanish Hospital of Mexico, Mexico

*Corresponding Author: Rodríguez M Ravindra Aher, Spanish Hospital of Mexico, Mexico.

Received: March 16, 2023; Published: April 17, 2023

Abstract

A cross-sectional, retrospective and observational study was conducted in postoperative patients of anterior cruciate ligament (ACL) reconstruction with all-inside technique; from July 1, 2018 to July 30, 2019 at the Spanish Hospital with 10 patients: 8 men and 2 women in immediate postsurgical radiographs AP and Lateral knee with 30º flexion.

The measurement of the maximum femoral inclination angle was 47.54°, with a minimum of 38.95°. The measurement of the maximum tibial tilt angle was 21.25°, with a minimum of 16.40.

The all-inside technique is an anatomical reconstruction, minimally invasive and highly reproducible, which allows adequate soft tissue management and bone preservation.

An adequate placement by this method of the inclination of the femoral and tibial tunnels was found when measuring the angulation.

Keywords: Postoperative; Radiographic; Anterior Cruciate; Ligament Reconstruction

References

1. Hauser RA., et al. “Ligament injury and healing: a review of current clinical diagnostics and therapeutics”. The Open Rehabilitation Journal (2013): 6.
2. Boden BP., et al. “Mechanisms of anterior cruciate ligament injury”. Orthopedics 23 (2000): 573-578.
3. Renstrom P., et al. “Non-contact ACL injuries in female athletes: an International Olympic Committee current concepts statement”. British Journal of Sports Medicine 42 (2008): 394-412.
4. Fink JC., et al. “Does the Position of the Femoral Tunnel Affect the Laxity or Clinical Outcome of the Anterior Cruciate Ligament-Reconstructed Knee? A Clinical, Prospective, Randomized, Double-Blind Study Arthroscopy”. The Journal of Arthroscopic and Related Surgery12 (2007): 1326-1333.
5. Debnath A., et al. “Radiological evaluation of tunnel position in single bundle anterior cruciate ligament reconstruction in Indian population and their clinical correlation”. Journal of Clinical Orthopaedics and Traum10.3a
6. Adachi N., et al. “Reconstruction of the anterior cruciate ligament. Single- versus double-bundle multistranded hamstrings tendons”. Journal of Bone and Joint Surgery: British Volume 86-B (2004): 515-520.
7. Zantop T., et al. “Anterior cruciate ligamento anatomy and function relating to anatomical reconstruction”. Knee Surgery, Sports Traumatology, Arthroscopy 14 (2006): 982-992.
8. Lubowitz JH. “No-tunnel anterior cruciate ligament reconstruction: e transtibial all-inside technique”. Arthroscopy 22 (2006): e1- 900.e11.
9. Lubowitz JH., et al. “All-inside anterior cruciate ligament graft-link technique: second-generation, no-incision anterior cruciate ligament reconstruction”. Arthroscopy: The Journal of Arthroscopic and Related Surgery 5 (2011): 71772710.
10. Connaughton AJ., et al. “All-inside ACL reconstruction: How does it compare to standard ACL reconstruction techniques?” Journal of Orthopaedics2 (2015): 241-246.
11. Lubowitz J. “All-inside ACL: reconstruction Controversies”. Sports Medicine and Arthroscopy Review 18 (2010): 20-26.
12. Almazán A., et al. “Reconstruction of the anterior cruciate ligament with all-inside technique. GraftLink: surgical technique”. Arthroscopy3 (2011): 142-145.
13. Palmieri Bouchan., et al. “Functional results in postoperative patients of arthroscopic reconstruction of the anterior cruciate ligament with all-inside^® technique”. Journal of Military Health 72.2 (2015): 110-117.
14. Montiel-Jarquín A., et al. “Study of the level of agreement between presurgical and arthroscopic diagnoses of meniscal injuries associated with anterior cruciate ligament injuries”. Acta Ortopédica Mexicana5 (2015): 266-270.
15. Huang W., et al. “Clinical examination of anterior cruciate ligament rupture: a systematic review and meta-analysis”. Acta Orthopaedica et Traumatologica Turcica 1 (2016): 22-31.
16. Kiapour AM and Murray MM. “Basic science of anterior cruciate ligament injury and repair”. Bone Joint Research2 (2014): 20-31.
17. Hewett TE., et al. “Current concepts for injury prevention in athletes after anterior cruciate ligament reconstruction”. The American Journal of Sports Medicine 41 (2013): 216-224.
18. Strand T., et al. “Long-term follow-up after primary repair of the anterior cruciate ligament: clinical and radiological evaluation 15-23 years postoperatively”. Archives of Orthopaedic and Trauma Surgery 125 (2005): 217-221.
19. Muller B., et al. “Indications and contraindications for double-bundle ACL reconstruction”. International Orthopaedics 37 (2013): 239-246.
20. Kondo E., et al. “Prospective clinical comparisons of anatomic double-bundle versus single-bundle anterior cruciate ligament reconstruction procedures in 328 consecutive patients”. The American Journal of Sports Medicine 36 (2008):
21. Lawhorn KW., et al. “Correct placement of tibial and femoral tunnels for anterior cruciate ligament reconstruction using the transtibial technique”. Techniques in Knee Surgery1 (2003).
22. Perales Aldo., et al. “[Clinical and radiographic correlation after anterior cruciate ligament reconstruction]”. Acta Ortopédica Mexicana 24 (2015): 76-83.
23. Sullivan JP., et al. “Radiographic Anatomy of the Native Anterior Cruciate Ligament: a Systematic Review”. HSS Journal^® 2 (2015): 154-165.
24. Bernard M., et al. “Femoral insertion of the ACL. Radiographic quadrant method”. The American Journal of Knee Surgery 10 (1997): 12-14.
25. Guo L., et al. “Roentgenographic measurement study for locating femoral insertion site of anterior cruciate ligament: a cadaveric study with X-Caliper”. International Orthopaedics 33 (2009): 133-137.
26. Muñoz G. “Atlas of Radiographic Measurements in Orthopedics and Traumatology”. McGraw-Hill Interamericana. Mexico (1999):
27. Illingworth KD., et al. “A Simple Evaluation of Anterior Cruciate Ligament Femoral Tunnel Position: The Inclination Angle and Femoral Tunnel Angle”. The American Journal of Sports Medicine12 (2015): 2611-2618.
28. Hwang MD., et al. “Anterior Cruciate Ligament Tibial Footprint Anatomy: Systematic Review of the 21^st Century Literature”. Arthroscopy5 (2012): 728-734.
29. Doi M., et al. “Lateral radiographic study of the tibial sagital insertions of the anteromedial and posterolateral bundles of human anterior cruciate ligament”. Knee Surgery, Sports Traumatology, Arthroscopy4 (2015): 347-351.
30. Stäubli HU and Rauschning W. “Tibial attachment area of the anterior cruciate ligament in the extended knee position. Anatomy and cryosections in vitro complemented by magnetic resonance arthrography in vivo”. Knee Surg Sports Traumatol Arthrosc 2 (2015): 138-146.
31. Amis AA and Jakob RP. “Anterior cruciate ligament graft positioning, tensioning and twisting”. Knee Surg Sports Traumatol Arthrosc1 (2015): S2-S12.
32. Behrend H., et al. “Tunnel placement in anterior cruciate ligament (ACL) reconstruction: quality control in a teaching hospital”. Knee Surg Sports Traumatology, Arthroscopy 14 (2006): 1159-1165.
33. Lars-Petter Granan., et al. “Timing of Anterior Cruciate Ligament Reconstructive Surgery and Risk of Cartilage Lesions and Meniscal Tears: A Cohort Study Based on the Norwegian National Knee Ligament Registry”. The American Journal of Sports Medicine 37 (2009): 955.
34. Kennedy J., et al. “Timing of reconstruction of the anterior cruciate ligament in athletes and the incidence of secondary pathology within the knee”. JBJS - British Volume3 (2010): 362-366.
35. LD Marangoni., et al. “Anterior Cruciate Ligament Ruptures, Incidence of Secondary Injuries Related to Reconstruction Time". Arthroscopic (B. Aires) 2 (2011): 94-100.
36. Taketomi S., et al. “Iliotibial band irritation caused by the EndoButton after anatomic double-bundle anterior cruciate ligament reconstruction: report of two cases”. Knee 4 (2013): 291-294.
37. Minig Mauro., et al. “Direction and length of the femoral tunnel in the plasty of the transportal anterior cruciate ligament. Influence of the location of the medial portal and femoral guides". Asoc. Argent. Traumatol. Sport 23.1 (2016): 28-34.
38. Shin YS., et al. “Location of the femoral tunnel aperture in single-bundle anterior cruciate ligament reconstruction: comparison of the transtibial, anteromedial portal, and outside-in techniques”. The American Journal of Sports Medicine 11 (2013): 2533-2539.
39. Robin BN., et al. “Advantages and Disadvantages of Transtibial, Anteromedial Portal, and Outside-In Femoral Tunnel Drilling in Single-Bundle Anterior Cruciate Ligament Reconstruction: A Systematic Review”. Arthroscopy 7 (2015): 1412-1417.
40. Figueroa D., et al. “Minimally invasive reconstruction of the anterolateral ligament”. Revista Chilena de Ortopedia y Traumatología 2 (2016): 36-41.

Citation

Citation: Olguín Rodríguez M., et al. “Postoperative Radiographic Control of the Orientation of the Femoral and Tibial Tunnels in Patients Operated on Anterior Cruciate Ligament Reconstruction with Technique all inside”.Acta Scientific Orthopaedics 6.5 (2023): 80-86.

Copyright

Copyright: © 2023 Olguín Rodríguez M., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.