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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 26 - 32 (7page)
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초록· 키워드
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purpose: The effect of sagittal plane angle of the tibial tunnel on the severity of tibial intra-articular aperture expansion caused by iatrogenic re-reaming in anterior cruciate ligament (ACL) reconstruction using a modified transtibial technique is unknown. The purpose of this study was to compare the severity of intra-articular aperture widening at different angles (40°, 45°, and 50°) of the tibial guide (TG). Materials and Methods: Ninety-seven patients who underwent modified transtibial ACL reconstruction were randomly allocated to TG 40°, 45°, and 50° groups. Intra-articular tibial aperture width (TW) and tibial tunnel length (TTL) were measured intraoperatively using an arthroscopic ruler and a depth gauge. results: The TG 50° group had significantly greater tibial aperture widening than the TG 40° group. There was a significant difference among TG 40°, 45°, and 50° groups and the percentage of knees with TTL <35 mm was 8%, 9% and 3%, respectively. There were 2 females with TTL <35 mm in TG 40° and 45° groups each. The average mediolateral length of the tibial plateau was 75 mm.conclusions: This study shows that the TG angle of 40° would reduce the severity of intra-articular aperture widening of the tibial tunnel compared to 45° or 50° in modified transtibial ACL reconstruction.
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참고문헌 (17)
참고문헌 신청
Bedi A / 2010 / Transtibial versus anteromedial portal drilling for anterior cruciate ligament reconstruction : a cadaveric study of femoral tunnel length and obliquity / Art
Bedi A / 2011 / Transtibial versus anteromedial portal reaming in anterior cruciate ligament reconstruction : an anatomic and biomechanical evaluation of surgical technique /
Golish SR / 2007 / The effect of femoral tunnel starting position on tunnel length in anterior cruciate ligament reconstruction : a cadaveric study / Arthroscopy 23 : 1187 ~
Greis PE / 2001 / The influence of tendon length and fit on the strength of a tendon-bone tunnel complex. A biomechanical and histologic study in the dog / Am J Sports Med 29
Heming JF / 2007 / Anatomical limitations of transtibial drilling in anterior cruciate ligament reconstruction / Am J Sports Med 35 : 1708 ~ 1715
Bedi A / 2011 / Transtibial versus anteromedial portal reaming in anterior cruciate ligament reconstruction : an anatomic and biomechanical evaluation of surgical technique /
Golish SR / 2007 / The effect of femoral tunnel starting position on tunnel length in anterior cruciate ligament reconstruction : a cadaveric study / Arthroscopy 23 : 1187 ~
Greis PE / 2001 / The influence of tendon length and fit on the strength of a tendon-bone tunnel complex. A biomechanical and histologic study in the dog / Am J Sports Med 29
Heming JF / 2007 / Anatomical limitations of transtibial drilling in anterior cruciate ligament reconstruction / Am J Sports Med 35 : 1708 ~ 1715
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