An Anatomical and Biomechanical Comparison of Anteromedial and Anterolateral Approaches for Tibial Tunnel of Posterior Cruciate Ligament Reconstruction: Evaluation of the Widening Effect of the Anterolateral Approach
- An Anatomical and Biomechanical Comparison of Anteromedial and Anterolateral Approaches for Tibial Tunnel of Posterior Cruciate Ligament Reconstruction: Evaluation of the Widening Effect of the Anterolateral Approach
- 안지환; 배지훈; 이용석; 최귀원; 배태수; 왕준호
- Biomechanics; ACL; posterior cruciate ligament reconstruction; anterolateral approach; killer turn; transtibial tunnel technique
- Issue Date
- The American journal of sports medicine
- VOL 37, NO 9, 1777-1783
- The mean cortex-tunnel angle was 47.5° ± 9.3° in the anteromedial approach group and 28.3° ± 7.4° in the anterolateral
approach group. The mean long diameter of the tunnels in the anteromedial approach group was 10.6 ± 1.0 mm and in the
anterolateral approach group it was 14.0 ± 1.5 mm. These two parameters showed statistically significant differences between
the 2 groups (P < .01). The mean maximum load at failure for the anteromedial approach group was 385.4 ± 139.7 N, and for the
anterolateral approach group it was 225.1 ± 144.1 N. This difference was statistically significant (P = .021).
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