The arthroscopic "impingement test" during anterior cruciate ligament reconstruction.
A primary goal of ACL reconstruction is to avoid graft impingement, which may lead to loss of motion and/or an increased incidence of instability. Although surgeons are cognizant of this potential problem, the intraoperative correction of graft impingement is technically demanding because the graft-notch relationship is obscured by the trochlea articulating with the tibial plateau during the final 10 degrees of extension. We present a simple impingement test that is performed before graft insertion and fixation to help avoid this potential pitfall.
Johnson
D L
DL
Section of Sports Medicine, University of Kentucky, Lexington.
Miller
M D
MD
Fu
F H
FH
D016118:Anterior Cruciate Ligament / Q000601:surgery*; D001182:Arthroscopy / Q000379:methods*; D006801:Humans; D007593:Joint Instability / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis*; D013710:Tendons / Q000637:transplantation*