Tibial Tunnel Preparation in Posterior Cruciate Ligament (PCL) Reconstruction. A Technical Tip to Lessen the Stress (TECHNICAL NOTE)

Q: How can I download an article?

To download an article from SID, first log in to the site, search for the article title, and click on the 'Download Article' option.

Q: How can I download an ISI article?

To download an ISI article on SID, enter the keyword or article title in the search bar, view the relevant results, click on the desired article, and select the 'Download Article' option.

Q: How can I access the SID database?

To access the SID database, visit SID.ir, create an account, and log in to access scientific resources.

Q: Is downloading articles from SID free?

Some articles on SID are available for free, while others require payment. Details are specified on the article's page.

MORTAZAVI S.M. JAVAD; Ramezanpoor Asl Ahmad; JAFARI HAMED; Asgari Hojjat; Kaseb Mohamad H.; Dehghani Firoozabadi Mohammad J.

مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

Journal Paper

Paper Information

Journal: Archives of Bone and Joint Surgery Year:2019 | Volume:7 | Issue:5 Page(s): 463-468

Download Full-Text

View:

109

Download:

Cites:

Information Journal Paper

Title

Tibial Tunnel Preparation in Posterior Cruciate Ligament (PCL) Reconstruction. A Technical Tip to Lessen the Stress (TECHNICAL NOTE)

Author(s)

Keywords

Arterial injury

Neurovascular injury

Posterior cruciate ligament reconstruction

Tibial tunnel

Abstract

Background: The purpose of this study was to introduce a technical tip for the preparation of Tibial tunnel in a posterior cruciate ligament (PCL) reconstruction to reduce the chance of popliteal artery injury and duration of the surgery. Methods: This study included 18 patients who underwent PCL reconstructions at Imam Khomeini University Hospital, Tehran, Iran, between 2016 and 2017. In all patients, the PCL tibial aimer device was inserted from the anteromedial portal and its tip aimed 8-9 mm below shiny white fibers in PCL facet. Subsequently, the smooth guide pin was inserted from anteromedial tibial cortex and advanced just to the posterior cortex but not through it based on the measurement of Tibial tunnel length. Thereafter, the reaming was done over the guide pin. As the pin was engaged in the posterior cortex, it was assured that it would not run before the reamer to the popliteal fossa. The pin was removed when the reamer touched the posterior cortex, and the reaming continued until reamer’ s head appeared in the PCL facet. Other steps of standard arthroscopic PCL reconstruction were done in this study. All patients were subjected to computed tomography scans. Results: The mean age of the patients and the mean duration of surgery were 25± 3 years and 95 min, respectively. There was no vascular injury, and the position of the Tibial tunnel in all cases was accurate. Moreover, the mean distance between the centers of the Tibial tunnel to champagne-glass drop-off of the posterior cortex of tibia was obtained at 7. 42 mm (range: 4. 6-10. 4 mm). Conclusion: This study showed that avoiding the penetration of posterior cortex of the tibia by means of the pin during Tibial tunnel preparation for PCL reconstruction is a safe, reproducible, and time-saving technique. This technique eliminates the need for fluoroscopy during the procedure.

Cites

No record.

References

Cite

APA: Copy

MORTAZAVI, S.M. JAVAD, Ramezanpoor Asl, Ahmad, JAFARI, HAMED, Asgari, Hojjat, Kaseb, Mohamad H., & Dehghani Firoozabadi, Mohammad J.. (2019). Tibial Tunnel Preparation in Posterior Cruciate Ligament (PCL) Reconstruction. A Technical Tip to Lessen the Stress (TECHNICAL NOTE). THE ARCHIVES OF BONE AND JOINT SURGERY, 7(5), 463-468. SID. https://sid.ir/paper/741480/en

Vancouver: Copy

MORTAZAVI S.M. JAVAD, Ramezanpoor Asl Ahmad, JAFARI HAMED, Asgari Hojjat, Kaseb Mohamad H., Dehghani Firoozabadi Mohammad J.. Tibial Tunnel Preparation in Posterior Cruciate Ligament (PCL) Reconstruction. A Technical Tip to Lessen the Stress (TECHNICAL NOTE). THE ARCHIVES OF BONE AND JOINT SURGERY[Internet]. 2019;7(5):463-468. Available from: https://sid.ir/paper/741480/en

IEEE: Copy

S.M. JAVAD MORTAZAVI, Ahmad Ramezanpoor Asl, HAMED JAFARI, Hojjat Asgari, Mohamad H. Kaseb, and Mohammad J. Dehghani Firoozabadi, “Tibial Tunnel Preparation in Posterior Cruciate Ligament (PCL) Reconstruction. A Technical Tip to Lessen the Stress (TECHNICAL NOTE),” THE ARCHIVES OF BONE AND JOINT SURGERY, vol. 7, no. 5, pp. 463–468, 2019, [Online]. Available: https://sid.ir/paper/741480/en

Related Journal Papers

No record.

Related Seminar Papers

No record.

Related Plans

No record.

Recommended Workshops