We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Arthrometric Stability of Horizontal Versus Vertical Single-bundle Arthroscopic Anterior Cruciate Ligament Reconstruction.
- Authors
Denti, Matteo; Arrigoni, Paolo; Volpi, Piero; Bait, Corrado; Sedran, Jean Claude; Randelli, Pietro
- Abstract
The anteroposterior (AP) stability of standard anterior cruciate ligament (ACL) reconstruction, referred to as 'vertical,' was compared with that of a modified femoral position, referred to as 'horizontal,' which is lower than and anterior to an operative knee at 90° flexion. Two consecutive series of 50 patients underwent vertical and horizontal arthroscopic single-bundle ACL reconstruction, respectively. For vertical reconstruction, the clock position was chosen, placing the graft at 10:30 in right knees and 1:30 in left knees, 1 to 2 mm anterior to the posterior femoral cortical cortex and at the back of the resident ridge. In the horizontal reconstruction, the transplant replaced the original ligament insertion at approximately the 9:30 o'clock position in right knees and the 2:30 o'clock position in left knees, approximately 2 mm in front of the posterior femoral cortical cortex. One year after surgery, the results of stabilometric evaluation revealed good performance after horizontal transplant. The mean clinical results changed from 1.0 (±1.3) mm for vertical to 0.7 (±1.3) mm for horizontal reconstruction. [Orthopedics. 2014; 37(5):321-324.].
- Publication
Orthopedics, 2014, Vol 37, Issue 5, p321
- ISSN
0147-7447
- Publication type
Journal Article
- DOI
10.3928/01477447-20140430-05