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Antegrade bone-tendon-bone autotransplant performance in anatomical plasty of anterior cruciate ligament of the knee joint

https://doi.org/10.24884/0042-4625-2017-176-6-49-54

Abstract

OBJECTIVE. The study assessed the efficacy of anatomic cruciate ligament reconstruction (ACL-R) with antegrade bone-tendon-bone (BTB) graft performance. MATERIAL AND METHODS. The arthroscopic reconstructions of ACL were analyzed in 91 patients. The antegrade ACL-R was carried out in the first group (33 %) patients. The antegrade isometric (non anatomical) ACL-R was made in the second group (26,4 %). The retrograde anatomical plasty of ACL was performed in the third group (40,6 %). RESULTS. The rates of front and rotary stability of the knee joint and quality of life were higher in the first and the third groups. There were rarely noted degenerative changes of joint. CONCLUSIONS. The antegrade anatomical plasty should be considered as a preferable version due to relative simplicity of the method and high anatomico-functional results and at the same time, this method had significant economic benefits.

About the Authors

V. V. Zayats
I. P.Pavlov First St. Petersburg State Medical University
Russian Federation


A. K. Dulaev
I. P.Pavlov First St. Petersburg State Medical University; I. I. Dzhanelidze St. Petersburg Research Institute of Emergency Medicine
Russian Federation


N. V. Zagorodniy
Russian University of Friendship of People
Russian Federation


A. V. Dydykin
I. P.Pavlov First St. Petersburg State Medical University
Russian Federation


A. V. Kolomoitsev
I. P.Pavlov First St. Petersburg State Medical University
Russian Federation


I. N. Ul’Yanchenko
I. P.Pavlov First St. Petersburg State Medical University
Russian Federation


A. V. Kovtun
I. P.Pavlov First St. Petersburg State Medical University
Russian Federation


References

1. Adams D., Logerstedt D. S., Hunter-Giordano A., Axe M. J., Snyder-Mackler L. Current concepts for anterior cruciate ligament reconstruction: a criterion-based rehabilitation progression // J. Orthop. Sports Phys. Ther. 2012. Vol. 42, № 7. Р. 601-614.

2. Bouattour K., Chatain F., Ait Si Selmi T., Neyret P. Arthroscopic reconstruction of the anterior cruciate ligament // Rev. Chir. Orthop. Reparatrice Appar. Mot. 2002. Vol. 88, № 2. Р. 130-138.

3. Dejour H., Dejour D., Ait Si Selmi T. Chronic anterior laxity of the knee treated with free patellar graft and extra-articular lateral plasty : 10-year follow-up of 148 cases // Rev. Chir. Orthop. Reparatrice Appar. Mot. 1999. Vol. 85, № 8. Р. 777-789.

4. Dejour H., Walch G., Neyret P., Adeleine P. Results of surgically treated chronic anterior laxities. Apropos of 251 cases reviewed with a minimum follow-up of 3 years // Rev. Chir. Orthop. 1988. Vol. 74, № 7. Р. 622-636.

5. Duquin T. R., Wind W. M., Fineberg M. S., Smolinski R. J., Buyea C. M. Current trends in anterior cruciate ligament reconstruction // J. Knee Surg. 2009. Vol. 22, № 1. Р. 7-12.

6. Ferrari J. D., Bush-Joseph C. A., Bach B. R. Arthroscopic-assisted anterior cruciate ligament reconstruction using patellar tendon autograft substitution - two-incision technique // Techniques in Orthopaedics. 1998. Vol. 13, № 3. Р. 242-252.

7. Kyle R. Flik, Bernard R. Bach. Anterior cruciate ligament reconstruction using a two-incision arthroscopy-assisted technique with patellar tendon autograft // Techniques in Orthopaedics. 2005. Vol. 20, № 4. Р. 372-376.

8. Lee D. H., Kim H. J., Ahn H. S., Bin S. I. Comparison of femoral tunnel length and obliquity between transtibial, anteromedial portal, and outside-in surgical techniques in single-bundle anterior cruciate ligament reconstruction : a meta-analysis // Arthroscopy. 2016. Vol. 32, № 1. Р. 142-150.

9. Lind M., Menhert F., Pedersen A. B. The first results from the Danish ACL reconstruction registry: epidemiologic and 2 year follow-up results from 5,818 knee ligament reconstructions // Knee Surg. Sports Traumatol. Arthrosc. 2009. Vol. 17, № 2. Р. 117-124.

10. Maletis G. B., Inacio M. C., Funahashi T.T. Analysis of 16,192 anterior cruciate ligament reconstructions from a Community-Based Registry 2013 // Am. J. Sports Med. 2013. Vol. 41, № 9. Р. 2090-2098.

11. Paterno M. V. Incidence and predictors of second anterior cruciate ligament injury after primary reconstruction and return to sport // J. Athl. Train. 2015. Vol. 50, № 10. Р. 1097-1099.

12. Pernin J., Verdonk P., Si Selmi T.A., Massin P., Neyret P. Longterm follow-up of 24.5 years after intra-articular anterior cruciate ligament reconstruction with lateral extra-articular augmentation // Am. J. Sports Med. 2010. Vol. 38, № 6. Р. 1094-1102.

13. Robin B. N., Jani S. S., Marvil S. C., Reid J. B., Schillhammer C. K., Lubowitz J. H. Advantages and disadvantages of transtibial, anteromedial portal, and outside-in femoral tunnel drilling in single-bundle anterior cruciate ligament reconstruction : a systematic review // Arthroscopy. 2015. Vol. 31, № 7. Р. 1412-1417.

14. Tibor L., Chan P.H., Funahashi T.T., Wyatt R., Maletis G. B., Inacio M. C. Surgical technique trends in primary ACL reconstruction from 2007 to 2014 // J. Bone Joint Surg. Am. 2016. Vol. 98, № 13. Р. 1079-1089.

15. Yee Han Dave Lee, Ryosuke Kuroda, Kai Ming Chan Anterior cruciate ligament reconstruction: a 2015 global perspective of the Magellan Society // Asia-Pacific J. Sports Med., Arthroscopy, Rehabilitation and Technology. 2015. Vol. 2, № 4. Р. 122-128.


Review

For citations:


Zayats V.V., Dulaev A.K., Zagorodniy N.V., Dydykin A.V., Kolomoitsev A.V., Ul’Yanchenko I.N., Kovtun A.V. Antegrade bone-tendon-bone autotransplant performance in anatomical plasty of anterior cruciate ligament of the knee joint. Grekov's Bulletin of Surgery. 2017;176(6):49-54. (In Russ.) https://doi.org/10.24884/0042-4625-2017-176-6-49-54

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