中国・四国整形外科学会雑誌
Online ISSN : 1347-5606
Print ISSN : 0915-2695
ISSN-L : 0915-2695
原著
骨付き膝蓋腱を用いた解剖学的前十字靱帯再建術の短期成績
堀田 昌宏林 正典今谷 潤也川上 幸雄清水 弘毅近藤 秀則中道 亮山川 泰明大塚 亮介藤井 俊宏高橋 欣吾
著者情報
ジャーナル 認証あり

2011 年 23 巻 2 号 p. 347-351

詳細
抄録
We report the clinical results of anatomically oriented anterior cruciate ligament (ACL) reconstruction using a bone-patellar tendon-bone graft (BTB). This technique is intended to mimic the two bundles of the normal ACL, based on the concept of twin tunnel ACL reconstruction. The attached bone plug is introduced into a rectangular femoral socket via a halfway rectangular tibial tunnel in order for the anterior portion of the graft to function as the anteromedial bundle (AMB) and its posterior portion to behave as the posterolateral bundle (PLB). Between July 2007 and December 2009, 47 patients (26 men and 21 women) underwent ACL reconstruction. The mean patient age was 29.0 years (range, 14 to 54 years) and the average follow-up period was 13.8 months (range, 6 to 27 months). Pivot shift test gave a slightly positive result in 5 patients, and the anterior drawer test gave a slightly positive result in 4 patients. The mean KT-2000 side-to-side difference was 0.65 mm (range, -4.0 to +5.0 mm). The mean Lysholm score was 95.4 (range, 85 to 100). Slight rotation instability remained after ACL reconstruction, but fresh meniscal injury was negligible in all cases. The clinical results of anatomically oriented ACL reconstruction with a BTB were good.
著者関連情報
前の記事 次の記事
feedback
Top