title: Intraoperative evaluation of anteroposterior and rotational stabilities in anterior cruciate ligament reconstruction: lower femoral tunnel placed single-bundle versus double-bundle reconstruction.
abstract: Twenty-six patients with anteroposterior (AP) laxity of the knee, associated with torn anterior cruciate ligament (ACL), were prospectively randomized for arthroscopic lower femoral tunnel placed single- or double-bundle reconstruction using hamstring tendons. We evaluated AP and rotational stabilities under regular loads (a 100-N anterior load and a 1.5-N m external-internal load) before and after ACL reconstruction, comparing single- and double-bundle reconstruction with our original device for applying quantitative tibial rotation and the navigation system intraoperatively. No significant differences were found between the two groups in AP displacement and total range of tibial rotation at 30 degrees and 60 degrees of knee flexion. We found that a lower femoral tunnel placed single-bundle reconstruction reproduced AP and rotational stability as well as double-bundle reconstruction after reconstruction intraoperatively.
authors.affiliation: Department of Orthopaedic Surgery, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima 734-8551, Japan. kanaya.a@mazda.co.jp
authors.forename: Atsushi
authors.initials: A
authors.lastname: Kanaya
authors.forename: Mitsuo
authors.initials: M
authors.lastname: Ochi
authors.forename: Masataka
authors.initials: M
authors.lastname: Deie
authors.forename: Nobuo
authors.initials: N
authors.lastname: Adachi
authors.forename: Makoto
authors.initials: M
authors.lastname: Nishimori
authors.forename: Atsuo
authors.initials: A
authors.lastname: Nakamae
mesh_terms: D000293:Adolescent; D000328:Adult; D016118:Anterior Cruciate Ligament / Q000503:physiopathology / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D001182:Arthroscopy / Q000379:methods*; D005260:Female; D006801:Humans; D007432:Intraoperative Period; D007593:Joint Instability / Q000503:physiopathology / Q000601:surgery*; D007719:Knee Joint / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012399:Rotation; D013710:Tendons / Q000637:transplantation*; D016474:Weight-Bearing / Q000502:physiology; D055815:Young Adult