Bone Tunnel Changes After ACL Reconstruction View Full Text


Ontology type: schema:Chapter     


Chapter Info

DATE

2016-07-01

AUTHORS

Daisuke Araki , Takehiko Matsushita , Ryosuke Kuroda

ABSTRACT

Femoral and tibial bone tunnel enlargement has been reported after anterior cruciate ligament (ACL) reconstruction. Although the exact etiology of bone tunnel enlargement after ACL reconstruction remains unknown, a complex interplay between mechanical and biological factors has been proposed to explain this phenomenon. The mechanical factors include motion of the graft within the bone tunnel, fixation methods or devices, stress shielding of the graft, improper graft placement, and rehabilitation protocols. The biological factors include the infiltration of inflammatory cytokines or synovial fluid into the bone tunnel, the use of allograft tissue, and the bioabsorbable fixation device. These factors are thought to induce osteolysis and bone tunnel enlargement after ACL reconstruction. Several studies reported that bone tunnel enlargement did not affect the clinical results; however, enlarged bone tunnel often complicates revision ACL reconstruction. This chapter describes the multiple causes of bone tunnel enlargement after ACL reconstruction. Future research and improvement of surgical technique are aimed at prevention of bone tunnel enlargement. More... »

PAGES

247-266

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/978-4-431-55858-3_21

DOI

http://dx.doi.org/10.1007/978-4-431-55858-3_21

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1027245685


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