Isometric placement of the augmentation braid is not attained reliably in contemporary ACL suture repair
File(s)Manuscript with AAA edit 2019-09-06.docx (1.16 MB)
Accepted version
Author(s)
Hoogeslag, Roy AG
Brouwer, Reinoud W
Huis In 't Veld, Rianne
Amis, Andrew A
Type
Journal Article
Abstract
BACKGROUND: To assess if during arthroscopic braid-augmented ACL suture repair (ACLSR), the actual positions of the augmentation braids' tunnels corresponded with the positions of their intended and targeted isometric points, and to test the hypothesis that there would be no dispersion in actual positions of the augmentation braids' tunnels compared to their intended and targeted isometric points. METHODS: In 12 human cadaveric knees, the positions of the augmentation braids' tunnels and their intended and targeted isometric points relative to a femoral and tibial grid were analysed. Furthermore, vector length between these positions was calculated to assess the accuracy and precision of the augmentation braids' tunnel placement. RESULTS: There was dispersion for all of the augmentation braids' tunnel positions compared to their intended isometric points. The femoral and tibial vector lengths (mean ± SD (range)) were 2.9 ± 1.0 (1.1-4.1) and 7.1 ± 2.0 (3.2-9.8) mm respectively. CONCLUSION: In augmented ACLSR, with the ruptured ACL in situ, there was dispersion of the positions of the actual small diameter femoral and tibial augmentation braids' tunnels away from their desired isometric points. CLINICAL RELEVANCE: The extent of dispersion of the position of both the femoral and tibial tunnels away from their intended isometric positions may cause cyclic length changes with knee motion. An ACLSR with static braid augmentation will thus be vulnerable to cyclic stretching-out. The difficulty of obtaining an isometric tunnel combination for the small diameter augmentation braid may influence the clinician's choice between non-, static or dynamic augmented ACLSR techniques.
Date Issued
2020-01-01
Date Acceptance
2019-10-20
Citation
Knee, 2020, 27 (1), pp.111-123
ISSN
0968-0160
Publisher
Elsevier
Start Page
111
End Page
123
Journal / Book Title
Knee
Volume
27
Issue
1
Copyright Statement
© 2019 Elsevier B.V. All rights reserved. This manuscript is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence http://creativecommons.org/licenses/by-nc-nd/4.0/
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/31791721
PII: S0968-0160(19)30239-X
Subjects
ACL suture repair
Anterior cruciate ligament
Biomechanics of ligament.
Knee
Publication Status
Published
Coverage Spatial
Netherlands
Date Publish Online
2019-11-30