RISS 검색 - 국내학술지논문 상세보기

다국어 초록 (Multilingual Abstract)

Background: Regarding reconstruction surgery of the anterior cruciate ligament (ACL), there is still a debate whether to perform a single bundle (SB) or double bundle (DB) reconstruction. The purpose of this study was to analyze and compare the volume and surface area of femoral and tibial tunnels during transtibial SB versus transportal DB ACL reconstruction.
Methods: A consecutive series of 26 patients who underwent trantibial SB ACL reconstruction and 27 patients with transportal DB ACL reconstruction using hamstring autograft from January 2010 to October 2010 were included in this study. Three-dimensional computed tomography (3D-CT) was taken within one week after operation. The CT bone images were segmented with use of Mimics software v14.0. The obtained digital images were then imported in the commercial package Geomagic Studio v10.0 and SketchUp Pro v8.0 for processing. The femoral and tibial tunnel lengths, diameters, volumes and surface areas were evaluated. A comparison between the two groups was performed using the independent-samples t-test. A p-value less than the significance value of 5% (p < 0.05) was considered statistically significant.
Results: Regarding femur tunnels, a significant difference was not found between the tunnel volume for SB technique (1,496.51 ± 396.72 mm3) and the total tunnel volume for DB technique (1,593.81 ± 469.42 mm3; p = 0.366). However, the total surface area for femoral tunnels was larger in DB technique (919.65 ± 201.79 mm2) compared to SB technique (810.02 ± 117.98 mm2; p = 0.004). For tibia tunnels, there was a significant difference between tunnel volume for the SB technique (2,070.43 ± 565.07 mm3) and the total tunnel volume for the DB technique (2,681.93 ± 668.09 mm3; p ≤ 0.001). The tibial tunnel surface area for the SB technique (958.84 ± 147.50 mm2) was smaller than the total tunnel surface area for the DB technique (1,493.31 ± 220.79 mm2; p ≤ 0.001).
Conclusions: Although the total femoral tunnel volume was similar between two techniques, the total surface area was larger in the DB technique. For the tibia, both total tunnel volume and the surface area were larger in DB technique.

참고문헌 (Reference)

1 Basdekis G, "Validation of the position of the femoral tunnels in anatomic double-bundle ACL reconstruction with 3-D CT scan" 17 (17): 1089-1094, 2009

2 Choi NH, "Tibial tunnel widening after anterior cruciate ligament reconstructions with hamstring tendons using Rigidfix femoral fixation and Intrafix tibial fixation" 18 (18): 92-97, 2010

3 Peyrache MD, "Tibial tunnel enlargement after anterior cruciate ligament reconstruction by autogenous bone-patellar tendon-bone graft" 4 (4): 2-8, 1996

4 Dong Y, "Three-dimensional anthropometric analysis of the Chinese nose" 63 (63): 1832-1839, 2010

5 Galway HR, "The lateral pivot shift: a symptom and sign of anterior cruciate ligament insufficiency" (147) : 45-50, 1980

6 Rodeo SA, "Tendon healing in a bone tunnel differs at the tunnel entrance versus the tunnel exit: an effect of graft-tunnel motion?" 34 (34): 1790-1800, 2006

7 Steiner ME, "Strategies to improve anterior cruciate ligament healing and graft placement" 36 (36): 176-189, 2008

8 Carson EW, "Revision anterior cruciate ligament reconstruction : etiology of failures and clinical results" 17 (17): 127-132, 2004

9 Dye SF, "Restoration of osseous homeostasis after anterior cruciate ligament reconstruction" 21 (21): 748-750, 1993

10 Ferretti M, "Osseous landmarks of the femoral attachment of the anterior cruciate ligament : an anatomic study" 23 (23): 1218-1225, 2007