Knee Surg Relat Res.  2015 Jun;27(2):117-122. 10.5792/ksrr.2015.27.2.117.

Anatomical Single-bundle Anterior Cruciate Ligament Reconstruction Using a Freehand Transtibial Technique

• Nha KW
• Han JH
• Kwon JH
• Kang KW
• Park HJ
• Song JG

• KMID: 2223218
• DOI: http://doi.org/10.5792/ksrr.2015.27.2.117

Abstract

PURPOSE
In anatomical single-bundle (SB) anterior cruciate ligament (ACL) reconstruction, the traditional transtibial approach can limit anatomical placement of the femoral tunnel. SURGICAL TECHNIQUE: We present a novel three-point freehand technique that allows for anatomic SB ACL reconstruction with the transtibial technique.
MATERIALS AND METHODS
Between January 2012 and December 2012, 55 ACL reconstructions were performed using the three-point freehand technique. All the patients were followed for a minimum of 12 months post-operatively. Clinical evaluation was done using the Lysholm score and International Knee Documentation Committee (IKDC) grade. All patients were analyzed by 3-dimensional computed tomography (3D CT) at 1 week after surgery.
RESULTS
The mean Lysholm score improved from 68.2+/-12.7 points preoperatively to 89.2+/-8.2 points at final follow-up. At final follow-up, the IKDC grade was normal in 42 patients and nearly normal in 13 patients. None of the patients had a positive pivot shift test, anterior drawer test and Lachman test at final follow-up. The anatomical position of the femoral tunnel was confirmed on 3D CT scans.
CONCLUSIONS
The three-point freehand technique for SB transtibial ACL reconstruction is a simple, anatomic technique showing good clinical results.

Keyword

Anterior cruciate ligament; Reconstruction; Single-bundle; Transtibial technique

MeSH Terms

Anterior Cruciate Ligament
Anterior Cruciate Ligament Reconstruction*
Follow-Up Studies
Humans
Knee
Tomography, X-Ray Computed