One-stage revision anatomic anterior cruciate ligament reconstruction with rectangular tunnel technique.
expert_opinion · Level V
Where this comes from
- Record sourced from PubMed, PMID 29264239.
- Also identified by DOI 10.1016/j.asmart.2014.12.003 and PMC identifier 5730639.
- Licence recorded as CC BY-NC-ND.
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Abstract
We developed the anatomic rectangular tunnel anterior cruciate ligament reconstruction (ART ACLR) with a bone-patellar tendon-bone graft to mimic fibre arrangement inside the native ACL via tunnels with smaller apertures. With a 10-mm-wide graft, the cross-sectional area of the tunnels of 50 mm<sup>2</sup> in ART ACLR is less than that of 79 mm<sup>2</sup> in a 10-mm round tunnel one. Because tunnel encroachment would be less of a problem, the ART ACLR technique could be most frequently applied to patients after a failed primary ACLR. In this instructional lecture, the indication and technical considerations for ART ACLR as one-stage revision ACLR are described.