Radiological and functional comparison of single-bundle anterior cruciate ligament reconstruction: transtibial versus anteromedial technique

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dc.contributor.authorOzer, Mustafa
dc.contributor.authorOzer, Hamza
dc.contributor.authorSelek, Hakan Y.
dc.contributor.authorBaltaci, Y. Gul
dc.contributor.authorHarput, Gulcan
dc.contributor.authorTaskesen, Anil
dc.contributor.authorCetinkaya, Mehmet
dc.date.accessioned2024-02-23T14:37:22Z
dc.date.available2024-02-23T14:37:22Z
dc.date.issued2018
dc.departmentNEÜen_US
dc.description.abstractBackground/aim: This study aimed to compare radiological and functional outcomes of patients who had single-bundle anterior cruciate ligament (ACL) reconstruction with autologous hamstring tendon grafts using transtibial (TT) versus anteromedial (AM) femoral tunnel drilling techniques. Materials and methods: Sixty patients who had been operated on between 2010 and 2013 were enrolled in this study. Tunnel positions and widenings in the femur and tibia were evaluated with radiographs, arthrometric measurements with a Rolimeter arthrometer (Aircast, Summit, NJ, USA), stability assessment with Lachman and reverse pivot shift tests, and functional assessment with the International Knee Documentation Committee and Tegner and Lysholm scoring systems. Results: Tunnel enlargement in the sagittal and coronal planes of the femur was higher with the TT technique (P < 0.0001) and that of the coronal planes of the tibia was also higher with the TT technique (P = 0.01). During the assessment with the Rolimeter, the difference between sides was significant with the TT technique (P = 0.013). Positive results of the Lachman and reverse pivot shift tests were more frequent with the TT technique (P < 0.05), and the Lysholm scores were higher with the AM technique (P = 0.001). Conclusion: ACL reconstruction with hamstring autografts by either TT or AM technique demonstrated similar and excellent results in terms of functional outcomes at the end of the first postoperative year. The TT group had increased tunnel enlargement, which may have uncertain long-term outcomes, compared with the AM group.en_US
dc.identifier.doi10.3906/sag-1702-119
dc.identifier.endpage461en_US
dc.identifier.issn1300-0144
dc.identifier.issn1303-6165
dc.identifier.issue3en_US
dc.identifier.pmid29914236en_US
dc.identifier.scopus2-s2.0-85048606618en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage455en_US
dc.identifier.urihttps://doi.org/10.3906/sag-1702-119
dc.identifier.urihttps://hdl.handle.net/20.500.12452/16075
dc.identifier.volume48en_US
dc.identifier.wosWOS:000435653900002en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTubitak Scientific & Technological Research Council Turkeyen_US
dc.relation.ispartofTurkish Journal Of Medical Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectKneeen_US
dc.subjectAnterior Cruciate Ligamenten_US
dc.subjectArthroscopyen_US
dc.subjectTranstibial Techniqueen_US
dc.subjectAnteromedial Techniqueen_US
dc.titleRadiological and functional comparison of single-bundle anterior cruciate ligament reconstruction: transtibial versus anteromedial techniqueen_US
dc.typeArticleen_US

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