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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 348 - 355 (8page)
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Purpose: To evaluate the clinical effects of using anatomical bony landmarks (Parsons’ knob and the medial intercondylar ridge) and minimal ablation of the tibial footprint to improve knee anterior instability and synovial graft coverage after doublebundle anterior cruciate ligament reconstruction. Materials and Methods: We performed a retrospective comparison of outcomes between patients who underwent reconstruction with minimal ablation of the tibial footprint, using an anatomical tibial bony landmark technique, and those who underwent reconstruction with wide ablation of the tibial footprint. Differences between the two groups were evaluated using secondlook arthroscopy, radiological assessment of the tunnel position, postoperative anterior knee joint laxity, and clinical outcomes. Results: Use of the anatomical reference and minimal ablation of the tibial footprint resulted in a more anterior positioning of the tibial tunnel, with greater synovial coverage of the graft postoperatively (p=0.01), and improved anterior stability of the knee on secondlook arthroscopy. Both groups had comparable clinical outcomes. Conclusions: Use of anatomical tibial bony landmarks that resulted in a more anteromedial tibial tunnel position improved anterior knee laxity, and minimal ablation improved synovial coverage of the graft; however, it did not significantly improve subjective and functional shortterm outcomes.
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참고문헌 (30)
참고문헌 신청
Duchman KR / 2017 / Graft selection in anterior cruciate ligament surgery: who gets what and why? / Clin Sports Med 36:25~33
Adravanti P / 2017 / Single-bundle versus double-bundle anterior cruciate ligament reconstruction : a prospective randomized controlled trial with 6-year follow-up / J Knee Surg 30:898~904
Tibor L / 2016 / Surgical technique trends in primary ACL reconstruction from 2007 to 2014 / J Bone Joint Surg Am 98:1079~1089
Dhawan A / 2016 / Anatomic tunnel placement in anterior cruciate ligament reconstruction / J Am Acad Orthop Surg 24:443~454
Kondo E / 2007 / Second-look arthroscopic evaluations of anatomic double-bundle anterior cruciate ligament reconstruction : relation with postoperative knee stability / Arthroscopy 23:1198~1209
Adravanti P / 2017 / Single-bundle versus double-bundle anterior cruciate ligament reconstruction : a prospective randomized controlled trial with 6-year follow-up / J Knee Surg 30:898~904
Tibor L / 2016 / Surgical technique trends in primary ACL reconstruction from 2007 to 2014 / J Bone Joint Surg Am 98:1079~1089
Dhawan A / 2016 / Anatomic tunnel placement in anterior cruciate ligament reconstruction / J Am Acad Orthop Surg 24:443~454
Kondo E / 2007 / Second-look arthroscopic evaluations of anatomic double-bundle anterior cruciate ligament reconstruction : relation with postoperative knee stability / Arthroscopy 23:1198~1209
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