Transtibial versus Transportal ACL recostruction

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Presentation transcript:

Transtibial versus Transportal ACL recostruction

History 1-Isometric 2-Double Bundle 3-Anatomic Single Bundle

Anatomic

Anterior cruciate ligament reconstruction: can anatomic femoral placement be achieved with a transtibial technique? 8 fresh frozen adult knee’s . . . . Am J Sport Medicin 2011 Jun

Comparison of Femoral Tunnel Position and Clinical Results 40 Knee’s Modified Transtibial Versus Anteromedial Portal Technique in Anatomic Single-Bundle Anterior Cruciate Ligament Reconstruction Comparison of Femoral Tunnel Position and Clinical Results 40 Knee’s Ulsan University Hospital September 2014

Functional Outcomes of Anatomic Anterior Cruciate Ligament Reconstruction: Accessory Medial Portal versus Transtibial : A Single-Surgeon Experience Rothman Institute, Philadelphia, PA, USA 2015

Transportal Difficulties 1- Flextion position 120 2-Soft tissue injury (Fat Pad) 3-short femoral canal (25 , 35 mm) 4-Spongy Bone 5- Use of pump 6-Fixation Device

Conclusion TT or TP

ACL Reconstruction Single Bundle Anatomic Hamstring or Allograft Exobutton Femoral fixation Tibial Double fixation Transtibial

ACL Reconstruction During 1393 113 Patient’s Evaluation by IKDC & Physical Examination Before surgery after 3 Month & 6 month & 1 Year

این زانو ها حتما یکی از این موارد داشته اند Cilinical Test + ++ Lachman Test 10 2 این زانو ها حتما یکی از این موارد داشته اند A.D.Test 15 5 L.P.S.TEST 17

جدول نتایج مقیاس IKDC بیماران یکسال پس از جراحی IKDC Score جدول نتایج مقیاس IKDC بیماران یکسال پس از جراحی تعداد کل D C B A عالی 113 4 16 10 83 خوب 3.54% 14.16% 8.85% 73.45% قابل قبول غیرقابل قبول 9 5 3 1 زن 104 11 7 82 مرد