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Knee Surgery, Sports Traumatology, Arthroscopy

Published in:

01-05-2012 | Knee

PCL to graft impingement pressure after anatomical or non-anatomical single-bundle ACL reconstruction

Authors: Takanori Iriuchishima, Goro Tajima, Sheila J. M. Ingham, Kenji Shirakura, Freddie H. Fu

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 5/2012

Abstract

Background

Anterior cruciate ligament (ACL) graft impingement against the posterior cruciate ligament (PCL) has been postulated, but not thoroughly investigated.

Purpose

To evaluate PCL impingement pressure and biomechanical stability with different tibial and femoral tunnel positions in ACL reconstruction.

Methods

In 15 porcine knees, the impingement pressure between ACL and PCL was measured using pressure sensitive film before and after ACL single-bundle reconstruction. ACL reconstructions were performed in each knee with three different tibial and femoral tunnel position combinations: (1) tibial antero-medial (AM) tunnel to femoral AM tunnel (AM–AM), (2) tibial postero-lateral (PL) tunnel to femoral High-AM tunnel (PL–High-AM) and (3) tibial AM tunnel to femoral High-AM tunnel (AM–High-AM). Anterior tibial translation (ATT) was evaluated after each ACL reconstruction using robotic/universal force-moment sensor testing system.

Results

There was no significant difference of the impingement pressure between AM and AM, PL–High-AM reconstructed groups and intact ACL. Only AM–High-AM ACL reconstruction group showed significantly higher impingement pressure compared with intact ACL. With regard to ATT, AM–AM group had significantly higher stiffness than PL–High-AM group.

Conclusion

Anatomical ACL reconstruction does not cause PCL impingement and it has biomechanical advantage in ATT when compared with non-anatomical ACL reconstructions in porcine knee. For the clinical relevance, in the anatomical ACL reconstruction, no ACL–PCL impingement is found.

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Title: PCL to graft impingement pressure after anatomical or non-anatomical single-bundle ACL reconstruction
Authors: Takanori Iriuchishima
Goro Tajima
Sheila J. M. Ingham
Kenji Shirakura
Freddie H. Fu
Publication date: 01-05-2012
Publisher: Springer-Verlag
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 5/2012
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-011-1680-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

PCL to graft impingement pressure after anatomical or non-anatomical single-bundle ACL reconstruction

Abstract

Background

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Purpose

Methods

Results

Conclusion

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