Öz
Abstract
The aim of this study is to improve a new graft model for anatomic double bundle Anterior Crucial Ligament reconstruction (ACL). The aim of ACL reconstruction is to reproduce the functions of the native ACL. An anatomic double bundle ACL reconstruction utilizes two separate grafts to replace the Anterior Medial (AM) and Posterior Lateral (PL) bundles of the ACL. Bone-Patellar Tendon-Bone (BPTB) Graft was harvested from calf knee. Patellar tendon and distal bone were split as longitudinal. A new Double Bone-Double Bundle Patellar Tendon-Bone (DB-DBPT-B) graft model was obtained. We applied a new graft model for double-bundle anterior crucial ligament reconstruction on the calf knee. We think that a new graft model may be an alternative in open surgery and arthroscopic double-bundle ACL reconstruction.
Keywords: Anterior crucial ligament, double-bundle reconstruction, tendon graft, tendon reconstruction
Özet
Bu çalışmanın amacı, anatomik çift bant ön çapraz bağ (ÖÇB) tamiri için yeni bir greft modeli sunmaktır. ÖÇB tamirinin amaçı, doğal ÖÇB fonksiyonlarını yeniden sağlamaktır. Anatomik çift bant ÖÇB tamiri, ÖÇB’nin Anterior Medial (AM) ve Posterior Lateral (PL) bantı sağlamak için greft iki ayrılarak sağlanır. Kemik-Patellar Tendon-Kemik (KPTK) grefti dana dizinden elde edildi. Patellar tendon ve distal kemik boylamasına ikiye ayrıldı. Yeni bir Çift kemik-Çift Bant Patellar Tendon-Kemik (ÇK-ÇBPT-K) greft modeli elde edildi. Biz yeni tendon greft modelini dana dizinde çift bant ön çapraz bağ tamiri için uyguladık. Biz yeni greft modelinin açık ve atroskopik çift bant ÖÇB tamirinde altenatif olabileceğini düşünüyoruz.
Anahtar sözcükler: Ön çapraz bağ, çift bant tamiri, tendon greft, tendon tamiri.
Anahtar Kelimeler
Kaynakça
- Yasuda K, Kondo E, Ichiyama H, Kitamura N, Tanabe Y, Tohyama H, Minami A. Anatomic reconstruction of the anteromedial and posterolateral bundles of the anterior cruciate ligament using hamstring tendon grafts. Arthroscopy 2004; 20: 1015-25.
- Zelle BA, Brucker PU, Feng MT, Fu FH. Anatomical double-bundle anterior cruciate ligament reconstruction. Sports Med 2006; 36: 99-108.
- Freedman KB, D'Amato MJ, Nedeff DD, Kaz A, Bach BR Jr. Arthroscopic anterior cruciate ligament reconstruction: a meta analysis comparing patellar tendon and hamstring tendon autografts. Am J Sports Med 2003; 31: 2-11.
- Forssblad M, Valentin A, Engstrom B, Werner S. ACL reconstruction: patellar tendon versus hamstring grafts-economical aspects. Knee Surg Sports Traumatol Arthrosc 2006; 14: 536-41.
- Yagi M, Wong EK, Kanamori A, Debski RE, Fu FH, Woo SL. Biomechanical analysis of an anatomic anterior cruciate ligament reconstruction. Am J Sports Med 2002; 30: 660-6.
- Hamner DL, Brown CH Jr, Steiner ME, Hecker AT, Hayes WC. Hamstring tendon grafts for reconstruction of the anterior cruciate ligament: Biomechanical evaluation of the use of multiple strands and tensioning techniques. J Bone Joint Surg Am 1999; 81: 549-57.
- Papageorgiou CD, Ma CB, Abramowitch SD, Clineff TD, Woo SL. A multidisciplinary study of the healing of an intraarticular anterior cruciate ligament graft in a goat model. Am J Sports Med 2001; 29: 620-6.
- Kurosaka M, Yoshiya S, Andrish JT. A biomechanical comparison of different surgical techniques of graft fixation in anterior cruciate ligament reconstruction. Am J Sports Med 1987; 15: 225-9.
- Kim SJ, Jung KA, Song DH. Arthroscopic double-bundle anterior cruciate ligament reconstruction using autogenous quadriceps tendon. Arthroscopy 2006; 22: 797.e1-5.
- Sonnery-Cottet B, Chambat P. Anatomic double bundle: a new concept in anterior cruciate ligament reconstruction using the quadriceps tendon. Arthroscopy 2006; 22: 1249. e1-4.
- Markolf KL, Wascher DC, Finerman GA. Direct in vitro measurement of forces in the cruciate ligaments. Part II: The effect of section of the posterolateral structures. J Bone Joint Surg Am 1993; 75: 387-94.
- Rudy TW, Livesay GA, Woo SL, Fu FHA combined robotic/ universal force sensor approach to determine in situ forces of knee ligaments. J Biomech 1996; 29: 1357-60.
- Shelburne KB, Torry MR, Pandy MG. Muscle, ligament, and joint-contact forces at the knee during walking. Med Sci Sports Exerc 2005; 37: 1948-56.
Öz
Amaç. Bu çalışmanın amacı, anatomik çift bant ön çapraz bağ (ÖÇB) tamiri için yeni bir greft modeli sunmaktır. ÖÇB tamirinin amacı, doğal ÖÇB fonksiyonlarını yeniden sağlamaktır. Yöntem. Anatomik çift bant ÖÇB tamiri, ÖÇB’nin Anterior Medial (AM) ve Posterior Lateral (PL) bantı sağlamak için greft iki ayrılarak sağlanır. Kemik-Patellar Tendon-Kemik (KPTK) grefti dana dizinden elde edildi. Patellar tendon ve distal kemik boylamasına ikiye ayrıldı. Bulgular. Yeni bir Çift kemik-Çift Bant Patellar Tendon-Kemik (ÇK-ÇBPT-K) greft modeli elde edildi. Biz yeni tendon greft modelini dana dizinde çift bant ön çapraz bağ tamiri için uyguladık. Sonuç. Biz yeni greft modelinin açık ve atroskopik çift bant ÖÇB tamirinde alternatif olabileceğini düşünüyoruz
Anahtar Kelimeler
Kaynakça
- Yasuda K, Kondo E, Ichiyama H, Kitamura N, Tanabe Y, Tohyama H, Minami A. Anatomic reconstruction of the anteromedial and posterolateral bundles of the anterior cruciate ligament using hamstring tendon grafts. Arthroscopy 2004; 20: 1015-25.
- Zelle BA, Brucker PU, Feng MT, Fu FH. Anatomical double-bundle anterior cruciate ligament reconstruction. Sports Med 2006; 36: 99-108.
- Freedman KB, D'Amato MJ, Nedeff DD, Kaz A, Bach BR Jr. Arthroscopic anterior cruciate ligament reconstruction: a meta analysis comparing patellar tendon and hamstring tendon autografts. Am J Sports Med 2003; 31: 2-11.
- Forssblad M, Valentin A, Engstrom B, Werner S. ACL reconstruction: patellar tendon versus hamstring grafts-economical aspects. Knee Surg Sports Traumatol Arthrosc 2006; 14: 536-41.
- Yagi M, Wong EK, Kanamori A, Debski RE, Fu FH, Woo SL. Biomechanical analysis of an anatomic anterior cruciate ligament reconstruction. Am J Sports Med 2002; 30: 660-6.
- Hamner DL, Brown CH Jr, Steiner ME, Hecker AT, Hayes WC. Hamstring tendon grafts for reconstruction of the anterior cruciate ligament: Biomechanical evaluation of the use of multiple strands and tensioning techniques. J Bone Joint Surg Am 1999; 81: 549-57.
- Papageorgiou CD, Ma CB, Abramowitch SD, Clineff TD, Woo SL. A multidisciplinary study of the healing of an intraarticular anterior cruciate ligament graft in a goat model. Am J Sports Med 2001; 29: 620-6.
- Kurosaka M, Yoshiya S, Andrish JT. A biomechanical comparison of different surgical techniques of graft fixation in anterior cruciate ligament reconstruction. Am J Sports Med 1987; 15: 225-9.
- Kim SJ, Jung KA, Song DH. Arthroscopic double-bundle anterior cruciate ligament reconstruction using autogenous quadriceps tendon. Arthroscopy 2006; 22: 797.e1-5.
- Sonnery-Cottet B, Chambat P. Anatomic double bundle: a new concept in anterior cruciate ligament reconstruction using the quadriceps tendon. Arthroscopy 2006; 22: 1249. e1-4.
- Markolf KL, Wascher DC, Finerman GA. Direct in vitro measurement of forces in the cruciate ligaments. Part II: The effect of section of the posterolateral structures. J Bone Joint Surg Am 1993; 75: 387-94.
- Rudy TW, Livesay GA, Woo SL, Fu FHA combined robotic/ universal force sensor approach to determine in situ forces of knee ligaments. J Biomech 1996; 29: 1357-60.
- Shelburne KB, Torry MR, Pandy MG. Muscle, ligament, and joint-contact forces at the knee during walking. Med Sci Sports Exerc 2005; 37: 1948-56.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Bölüm | Cerrahi Tıp Bilimleri Araştırma Yazıları |
| Yazarlar | |
| Yayımlanma Tarihi | 25 Nisan 2011 |
| Yayımlandığı Sayı | Yıl 2011Cilt: 33 Sayı: 3 |