Comparative study of anatomical anterior cruciate ligament reconstruction versus conventional anterior cruciate ligament reconstruction

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• 作者：Arunim Swarup ; Sunil Malhotra ; ^{dr.sunilmalhotra@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; Devendra Dave ; Ashish Naresh
• 关键词：Anterior cruciate ligament reconstruction ; Gillquist portal ; Anatomical
• 刊名：Journal of Arthroscopy and Joint Surgery
• 出版年：2016
• 出版时间：May-August 2016
• 年：2016
• 卷：3
• 期：2
• 页码：56-60
• 全文大小：430 K

文摘

Aim of our study was whether anatomical placement of femoral tunnel using central Gillquist portal for visualization improves the rotational and antero-posterior translational stability as compared to conventional two portal technique of placement of femoral tunnel, where anterolateral portal is the visualization portal and anteromedial portal is the working portal. We define this latter method as non-anatomical placement, because we cannot visualize the face of medial surface of lateral femoral condyle and use jig to make the femoral tunnels.

Materials and methods

This study was a retrospective and prospective study conducted in the Department of Orthopaedic Surgery, NSCB Subharti Medical College, Meerut, over a period of 4 years in patients undergoing arthroscopic ACL reconstruction. The follow-up examination included knee joint range of movement assessment, Lachman test, Pivot shift test, IKDC score and Lysholm score at 6 weeks, 3 months, 6 months and 1 year.

Results and conclusions

On final assessment, we concluded that anatomical method of ACL reconstruction gives superior results for antero-posterior stability and although there is not much difference in functional scores when assessed using IKDC scores, but a small statistically significant difference is seen when assessed by using Lysholm scores for functional scoring.