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Kaustubh Ahuja,Hira Lal Nag 대한정형외과 스포츠의학회 2017 Arthroscopy and Orthopedic Sports Medicine Vol.4 No.2
Anterior cruciate ligament (ACL) reconstruction surgery rate has widely increased over past few years. Various graft options have been described in literature for reconstruction of ACL. Patellar tendon, semitendinosus alone, semitendinosus with gracilis are commonly used as graft materials. A number of recent studies suggest sacrifice of gracilis tendon for ACL reconstruction adversely affects hamstring strength. Many studies done in this regard have suggested the use of preoperative anthropometric data for estimating the adequacy of semitendinosus tendon alone being used in ACL reconstruction procedures. However there are no studies describing intraoperative assessment of the adequacy of graft length for semitendinosus alone graft for ACL reconstruction. In this note we describe a technique for intraoperative assessment of the adequacy of graft length of semitendinosus tendon for quadrupled semitendinosus alone graft or the need for harvesting gracilis along with semitendinosus tendon.
A new method of arthroscopic assisted management of stiff knee: a technical note
Hemant Bansal,Hira Lal Nag,Nishank Mehta,Arnab Sain 대한정형외과 스포츠의학회 2018 Arthroscopy and Orthopedic Sports Medicine Vol.5 No.2
Arthrofibrosis of the knee is a commonly encountered entity and often results from prolonged immobilization or delay in postoperative mobilization of knee. Arthroscopic arthrolysis has replaced open arthrolysis as the gold standard in the management of the stiff knee. Several authors have described their techniques and modifications for arthroscopic management of the stiff knee. Rare but devastating complications have also been reported, particularly when forceful manipulation of the knee is done during surgery. We describe a safe method of arthroscopic-assisted management of a stiff knee with our own modifications to avoid catastrophic complications like iatrogenic fracture, tendon rupture or avulsion while simultaneously achieving improved range of flexion.
Sai Krishna M L V,Hira Lal Nag,Anupam Gupta 대한정형외과 스포츠의학회 2022 Arthroscopy and Orthopedic Sports Medicine Vol.9 No.1
In this technical note, we used a quadrupled hamstring graft and an endobutton continuous loop (CL; Smith & Nephew, Andover, MA, USA) as an implant for fixation of the graft on the femoral side and a bioscrew on the tibial side. The standard endobutton CL has a continuous loop for graft suspension and two high tensile sutures for shuttling through the tunnels. The unloading or entanglement of these sutures is a common complication during the passage of the endobutton through the tunnels. In this technical note, we described a simple method for unlooping the looped high tensile sutures of the endobutton CL on the femoral side, which helps to avoid the aforementioned complication.