Ultrasonic Technique for Femoral Tunnel Creation in Anterior Cruciate Ligament Reconstruction.


Journal

Arthroscopy techniques
ISSN: 2212-6287
Titre abrégé: Arthrosc Tech
Pays: Netherlands
ID NLM: 101597442

Informations de publication

Date de publication:
Aug 2023
Historique:
received: 26 01 2023
accepted: 19 03 2023
medline: 1 9 2023
pubmed: 1 9 2023
entrez: 1 9 2023
Statut: epublish

Résumé

Bone tunnel creation in the anatomical location is essential in anterior cruciate ligament (ACL) reconstruction with an autogenous graft and is commonly performed with a drill bit matched to graft diameter. Anatomic rectangular tunnel ACL reconstruction with a bone-patellar tendon-bone autograft has been developed to anatomically create bone tunnels inside the ACL footprints and has been reported to achieve excellent outcomes. To make the rectangular tunnel, the surgeon needs to dilate 2 adjacent bone tunnels after creation of 2 round tunnels with a drill bit, while the tunnel wall occasionally cracks during dilating. An ultrasonic (US) device was developed with improvement of output power and has been implemented with a rectangular shape blade in the field of arthroscopic surgery. This US device can provide a precise and effective bone cut compared to drills. We introduced this device to clinically create a rectangular tunnel during ACL reconstruction. The US device can be useful for rectangular femoral tunnel creation and can create a precise rectangular femoral tunnel in the ACL footprint.

Identifiants

pubmed: 37654883
doi: 10.1016/j.eats.2023.03.018
pii: S2212-6287(23)00098-1
pmc: PMC10466142
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e1271-e1280

Informations de copyright

© 2023 The Authors.

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Auteurs

Tatsuo Mae (T)

Department of Sports Medical Biomechanics, Osaka University Graduate School of Medicine, Japan, Osaka, Japan.

Akira Tsujii (A)

Department of Sports Medical Biomechanics, Osaka University Graduate School of Medicine, Japan, Osaka, Japan.

Seira Sato (S)

Department of Orthopaedic Surgery, Osaka University Graduate School of Medicine, Japan, Osaka, Japan.

Takehito Hirose (T)

Department of Orthopaedic Surgery, Osaka University Graduate School of Medicine, Japan, Osaka, Japan.

Yasuyuki Ishibashi (Y)

Department of Orthopaedic Surgery, Hirosaki University Graduate School of Medicine, Aomori, Japan.

Tomoyuki Suzuki (T)

Department of Orthopaedic Surgery, Sapporo Maruyama Seikeigeka Hospital, Sapporo, Hokkaido, Japan.

Ken Nakata (K)

Department of Health and Sport Sciences, Osaka University Graduate School of Medicine, Osaka, Japan.

Classifications MeSH