The anteroposterior (AP) stability of standard anterior cruciate ligament (ACL) reconstruction, referred to as "vertical," was compared with that of a modified femoral position, referred to as "horizontal," which is lower than and anterior to an operative knee at 90° flexion. Two consecutive series of 50 patients underwent vertical and horizontal arthroscopic single-bundle ACL reconstruction, respectively. For vertical reconstruction, the clock position was chosen, placing the graft at 10:30 in right knees and 1:30 in left knees, 1 to 2 mm anterior to the posterior femoral cortical cortex and at the back of the resident ridge. In the horizontal reconstruction, the transplant replaced the original ligament insertion at approximately the 9:30 o'clock position in right knees and the 2:30 o'clock position in left knees, approximately 2 mm in front of the posterior femoral cortical cortex. One year after surgery, the results of stabilometric evaluation revealed good performance after horizontal transplant. The mean clinical results changed from 1.0 (±1.3) mm for vertical to 0.7 (±1.3) mm for horizontal reconstruction.
Arthrometric Stability of Horizontal Versus Vertical Single-bundle Arthroscopic Anterior Cruciate Ligament Reconstruction / M. Denti, P. Arrigoni, P. Volpi, C. Bait, J.C. Sedran, P. Randelli. - In: ORTHOPEDICS. - ISSN 0147-7447. - 37:5(2014 May 01), pp. 321-324.
|Titolo:||Arthrometric Stability of Horizontal Versus Vertical Single-bundle Arthroscopic Anterior Cruciate Ligament Reconstruction|
ARRIGONI, PAOLO ANGELO (Secondo)
RANDELLI, PIETRO SIMONE (Ultimo)
|Settore Scientifico Disciplinare:||Settore MED/33 - Malattie Apparato Locomotore|
|Data di pubblicazione:||1-mag-2014|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.3928/01477447-20140430-05|
|Appare nelle tipologie:||01 - Articolo su periodico|