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Transtibial Femoral Tunnel Technique In ACL Reconstruction and Osteoarthritis Incidence

Transtibial Femoral Tunnel Technique In ACL Reconstruction and Osteoarthritis Incidence

Marcus Vinicius Danieli, MD, PhD, BRAZIL João P.F. Guerreiro, MD, PhD, BRAZIL Joao Vitor Guedes Guedes Suzze, MD, BRAZIL Victoria de Abreu, MD, BRAZIL

Uniort.E Orthopedic Hospital, Londrina, Paraná, BRAZIL


2023 Congress   ePoster Presentation   2023 Congress   Not yet rated

 

Diagnosis / Condition

Treatment / Technique

Anatomic Location

Anatomic Structure

Diagnosis Method

Ligaments

ACL


Summary: ACL reconstruction with femoral tunnel performed through the transtibial technique in patients without other associated injuries in the operated knee, using hamstrings graft, showed an osteoarthritis incidence of 16.7% in a mean follow-up of 91.9 months.


Purpose

Evaluate osteoarthritis incidence in patients undergoing ACL reconstruction using the transtibial technique, with a minimum of 3 years of follow up, without associated injuries to other ligaments, menisci or chondral tissue during surgery.

Methods

Patients who underwent ACL reconstruction by the same surgeon using the transtibial technique with hamstrings graft and a minimum of 3 years of follow-up, without other injuries during the surgical procedure, were selected to undergo imaging exams of the operated knee to assess the incidence of osteoarthritis.

Results

Forty-two patients (44 knees) were evaluated, with a mean age of 31 years, 23 right knees and 28 male patients. Mean time from surgery to imaging evaluation was 91.9 months (ranging from 36 to 154 months). Of the knees evaluated, 37 did not have osteoarthritis (83.3%) and 7 had (16.7%).

Conclusion

ACL reconstruction with femoral tunnel performed through the transtibial technique in patients without other associated injuries in the operated knee, using hamstrings graft, showed an osteoarthritis incidence of 16.7% in a mean follow-up of 91.9 months.


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