No long-term tunnel enlargement following anterior cruciate ligament reconstruction using autograft hamstring tendon with dual suspensory fixation View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-10-17

AUTHORS

B. M. Devitt, M. Maes, J. A. Feller, K. E. Webster

ABSTRACT

PurposeBone tunnel widening following anterior cruciate ligament reconstruction (ACLR) is well documented, although the aetiology and clinical significance of this phenomenon remain unclear. At mid-term follow-up, a greater prevalence of tunnel enlargement has been reported with the use of hamstring (HS) grafts. However, there are paucity of data on what happens in the longer term. The aim of this study was to assess the change in femoral and tibial tunnel dimensions 15 years after four-strand HS ACLR.MethodsThis is a retrospective review of 15 patients who underwent arthroscopic ACLR using HS autograft tendon and were followed up radiographically at 4 months, 2 years and 15 years. Suspensory fixation was used for both ends of the graft. The diameters of the bone tunnels on posteroanterior (PA) and lateral radiographs were measured using digital callipers. Repeated measures analysis of variance (ANOVA) was used to examine change in tunnel width over time.ResultsRadiographic tunnel width did not significantly change between 4 months and 2 years. However, a significant decrease in width was found for both the femoral and tibial tunnels between the 2- and 15-year follow-up (P < 0.01): the femoral tunnel decreased by 50% and 51% in the PA and lateral views, respectively; the tibial tunnel decreased by 77% and 91% in the PA and lateral views respectively. There was no significant correlation between femoral or tibial tunnel width and flexion and extension deficits or with side to side differences in anterior tibial laxity at 15 years.ConclusionsThis radiographic follow-up study of bone tunnel widening following HS ACLR with suspensory fixation demonstrated that tunnel width did not increase beyond 4 months and in fact had decreased significantly at long-term (15 years) follow-up. There was no correlation between tunnel width changes and clinical assessment of flexion and extension deficits or with side-to-side anterior knee laxity at 15-years.Level of evidenceIV More... »

PAGES

2157-2162

References to SciGraph publications

  • 2009-12-02. Comparison of plain radiography, computed tomography, and magnetic resonance imaging in the evaluation of bone tunnel widening after anterior cruciate ligament reconstruction in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 1999-09. Bone tunnel enlargement after anterior cruciate ligament reconstruction with the hamstring autograft and endobutton fixation technique A clinical, radiographic and magnetic resonance imaging study with 2 years follow-up in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2008-09-13. Tunnel widening following anterior cruciate ligament reconstruction using hamstring autograft: a comparison between double cross-pin and suspensory graft fixation in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 1996-03. Tibial tunnel enlargement after anterior cruciate ligament reconstruction by autogenous bone-patellar tendon-bone graft in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2001-02-27. Bone tunnel enlargement following anterior cruciate ligament reconstruction: a randomised comparison of hamstring and patellar tendon grafts with 2-year follow-up in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 1999-05. Tunnel widening in anterior cruciate ligament reconstruction: a prospective evaluation of hamstring and patella tendon grafts in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2013-02-12. Tunnel enlargement 5 years after anterior cruciate ligament reconstruction: a radiographic and functional evaluation in EUROPEAN JOURNAL OF ORTHOPAEDIC SURGERY & TRAUMATOLOGY
  • 2003-12-06. The influence of tibial fixation on tunnel enlargement after hamstring tendon anterior cruciate ligament reconstruction in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 1997-11. Tunnel expansion following anterior cruciate ligament reconstruction: a comparison of hamstring and patellar tendon autografts in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2006-02-28. Evaluation of tibial bone-tunnel changes with X-ray and computed tomography after ACL reconstruction using a bone-patella tendon-bone autograft in INTERNATIONAL ORTHOPAEDICS
  • 2001-03-06. Bone tunnel enlargement after anterior cruciate ligament reconstruction using hamstring tendons in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2002-02-27. A prospective evaluation of tunnel enlargement in anterior cruciate ligament reconstruction with hamstrings: extracortical versus anatomical fixation in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2014-05-13. Anterior cruciate ligament reconstruction using a hamstring graft: a retrospective comparison of tunnel widening upon use of two different femoral fixation methods in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2010-01-29. Femoral tunnel enlargement after anatomic ACL reconstruction: a biological problem? in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
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  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00167-019-05741-7

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    http://dx.doi.org/10.1007/s00167-019-05741-7

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1121884973

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/31624903


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    39 schema:datePublishedReg 2019-10-17
    40 schema:description PurposeBone tunnel widening following anterior cruciate ligament reconstruction (ACLR) is well documented, although the aetiology and clinical significance of this phenomenon remain unclear. At mid-term follow-up, a greater prevalence of tunnel enlargement has been reported with the use of hamstring (HS) grafts. However, there are paucity of data on what happens in the longer term. The aim of this study was to assess the change in femoral and tibial tunnel dimensions 15 years after four-strand HS ACLR.MethodsThis is a retrospective review of 15 patients who underwent arthroscopic ACLR using HS autograft tendon and were followed up radiographically at 4 months, 2 years and 15 years. Suspensory fixation was used for both ends of the graft. The diameters of the bone tunnels on posteroanterior (PA) and lateral radiographs were measured using digital callipers. Repeated measures analysis of variance (ANOVA) was used to examine change in tunnel width over time.ResultsRadiographic tunnel width did not significantly change between 4 months and 2 years. However, a significant decrease in width was found for both the femoral and tibial tunnels between the 2- and 15-year follow-up (P < 0.01): the femoral tunnel decreased by 50% and 51% in the PA and lateral views, respectively; the tibial tunnel decreased by 77% and 91% in the PA and lateral views respectively. There was no significant correlation between femoral or tibial tunnel width and flexion and extension deficits or with side to side differences in anterior tibial laxity at 15 years.ConclusionsThis radiographic follow-up study of bone tunnel widening following HS ACLR with suspensory fixation demonstrated that tunnel width did not increase beyond 4 months and in fact had decreased significantly at long-term (15 years) follow-up. There was no correlation between tunnel width changes and clinical assessment of flexion and extension deficits or with side-to-side anterior knee laxity at 15-years.Level of evidenceIV
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    47 schema:keywords Level of evidenceIV
    48 MethodsThis
    49 aim
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    51 anterior cruciate ligament reconstruction
    52 anterior knee laxity
    53 anterior tibial laxity
    54 arthroscopic anterior cruciate ligament reconstruction
    55 assessment
    56 autograft
    57 autograft tendons
    58 bone tunnel
    59 caliper
    60 changes
    61 clinical assessment
    62 clinical significance
    63 correlation
    64 cruciate ligament reconstruction
    65 data
    66 decrease
    67 deficits
    68 diameter
    69 differences
    70 digital caliper
    71 dimension 15
    72 end
    73 enlargement
    74 etiology
    75 evidenceIV
    76 extension deficit
    77 fact
    78 femoral tunnel
    79 fixation
    80 flexion
    81 follow
    82 graft
    83 greater prevalence
    84 hamstring graft
    85 knee laxity
    86 lateral radiographs
    87 lateral view
    88 laxity
    89 levels
    90 ligament reconstruction
    91 long term
    92 measures analysis
    93 months
    94 patients
    95 paucity
    96 paucity of data
    97 phenomenon
    98 posteroanterior
    99 prevalence
    100 radiographic follow
    101 radiographs
    102 reconstruction
    103 retrospective review
    104 review
    105 side
    106 significance
    107 significant correlation
    108 significant decrease
    109 study
    110 suspensory fixation
    111 tendon
    112 terms
    113 tibial tunnel
    114 tibial tunnel width
    115 time
    116 tunnel
    117 tunnel enlargement
    118 tunnel width
    119 use
    120 variance
    121 view
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    124 years
    125 schema:name No long-term tunnel enlargement following anterior cruciate ligament reconstruction using autograft hamstring tendon with dual suspensory fixation
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