2023 ISAKOS Biennial Congress ePoster
Transtibial Femoral Tunnel Technique In ACL Reconstruction and Osteoarthritis Incidence
Marcus Vinicius Danieli, MD, PhD, Londrina, Parana BRAZIL
João P.F. Guerreiro, MD, PhD, Londrina, Parana BRAZIL
Joao Vitor Guedes Guedes Suzze, MD, Londrina, PR BRAZIL
Victoria de Abreu, MD, Londrina, Paraná BRAZIL
Uniort.E Orthopedic Hospital, Londrina, Paraná, BRAZIL
FDA Status Not Applicable
Summary
ACL reconstruction with femoral tunnel performed through the transtibial technique in patients without other associated injuries in the operated knee, using hamstrings graft, showed an osteoarthritis incidence of 16.7% in a mean follow-up of 91.9 months.
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Abstract
Purpose
Evaluate osteoarthritis incidence in patients undergoing ACL reconstruction using the transtibial technique, with a minimum of 3 years of follow up, without associated injuries to other ligaments, menisci or chondral tissue during surgery.
Methods
Patients who underwent ACL reconstruction by the same surgeon using the transtibial technique with hamstrings graft and a minimum of 3 years of follow-up, without other injuries during the surgical procedure, were selected to undergo imaging exams of the operated knee to assess the incidence of osteoarthritis.
Results
Forty-two patients (44 knees) were evaluated, with a mean age of 31 years, 23 right knees and 28 male patients. Mean time from surgery to imaging evaluation was 91.9 months (ranging from 36 to 154 months). Of the knees evaluated, 37 did not have osteoarthritis (83.3%) and 7 had (16.7%).
Conclusion
ACL reconstruction with femoral tunnel performed through the transtibial technique in patients without other associated injuries in the operated knee, using hamstrings graft, showed an osteoarthritis incidence of 16.7% in a mean follow-up of 91.9 months.