Does anatomic single-bundle ACL reconstruction using hamstring autograft produce anterolateral meniscal root tearing?

BACKGROUND: To determine if tibial tunnel reaming during anatomic single-bundle anterior cruciate ligament (ACL) reconstruction using hamstring autograft can result in anterolateral meniscal root injury, as diagnosed by magnetic resonance imaging (MRI). METHODS: A case series of 104 primary anatomic...

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Detalles Bibliográficos
Autores: Irarrázaval, Sebastián, Masferrer-Pino, Àngel, Ibañez, Maximiliano, Shehata, Tamer M. A., Naharro, María, Monllau García, Juan Carlos
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2017
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:10230/34899
Acceso en línea:http://hdl.handle.net/10230/34899
http://dx.doi.org/10.1186/s40634-017-0093-5
Access Level:acceso abierto
Palabra clave:Menisc (Anatomia)
Lligaments -- Cirurgia
Anterior cruciate ligament
Anterior cruciate ligament reconstruction
Lateral meniscus
Meniscal roots
Descripción
Sumario:BACKGROUND: To determine if tibial tunnel reaming during anatomic single-bundle anterior cruciate ligament (ACL) reconstruction using hamstring autograft can result in anterolateral meniscal root injury, as diagnosed by magnetic resonance imaging (MRI). METHODS: A case series of 104 primary anatomic single-bundle ACL reconstructions using hamstring autograft was retrospectively reviewed. Pre- and post-operative (>1 year) MRIs were radiologically evaluated for each patient, with a lateral meniscus extrusion > 3 mm at the level of the medial collateral ligament midportion on a coronal MRI, to establish anterolateral meniscal root injury. RESULTS: No patients presented radiological findings of anterolateral meniscal root injury in this case series. CONCLUSIONS: Examining a single-bundle ACL reconstruction technique using hamstring autograft that considered tibial tunnel positioning in the center of the tibial footprint, this case series found no evidence of anterolateral meniscal root injury in patient MRIs, even more than 1-year post-operation.