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CC BY 4.0 · Rev Bras Ortop (Sao Paulo) 2024; 59(01): e76-e81
DOI: 10.1055/s-0044-1779328
Artigo Original
Joelho

Transtibial Femoral Tunnel Technique in ACL Reconstruction and Osteoarthritis Incidence

Article in several languages: português | English
Marcus Vinicius Danieli 
1   Uniort.e – Hospital de Ortopedia, Londrina, PR, Brasil
2   Pontifícia Universidade Católica PUC, Paraná, Campus de Londrina, Londrina, PR, Brasil
,
Allan Viktor Pires Molinari
1   Uniort.e – Hospital de Ortopedia, Londrina, PR, Brasil
,
João Vitor Guedes Suzze
2   Pontifícia Universidade Católica PUC, Paraná, Campus de Londrina, Londrina, PR, Brasil
,
Victoria de Abreu
2   Pontifícia Universidade Católica PUC, Paraná, Campus de Londrina, Londrina, PR, Brasil
,
João Paulo Fernandes Guerreiro
1   Uniort.e – Hospital de Ortopedia, Londrina, PR, Brasil
2   Pontifícia Universidade Católica PUC, Paraná, Campus de Londrina, Londrina, PR, Brasil
› Author Affiliations Financial Support This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
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Abstract

Objective: Evaluate osteoarthritis incidence in patients that undergone ACL reconstruction using the transtibial technique, with a minimum of 5 years of follow up, with isolated ACL injury.

Methods: Patients who underwent ACL reconstruction by the same surgeon using the transtibial technique with hamstrings graft and with a minimum of 5 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. The obtained data were evaluated by descriptive statistics.

Results: Forty-two patients (44 knees) were evaluated, with a mean age of 31 years old (SD: 8), being 23 right knees and 28 male patients. Mean time from surgery to imaging evaluation was 94.1 months (ranging from 60 to 154 months; SD: 28). Of the evaluated knees, 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, with a minimum of 5 years of follow up, showed an osteoarthritis incidence of 16.7% in a mean follow-up of 94.1 months.

Level Of Evidence V; Case Series.

Keywords

anterior cruciate ligament reconstruction - anatomy - osteoarthritis - diagnostic imaging

Authors' Contributions:

Each author contributed individually and significantly to the development of this article: MVD: Perform the surgeries, concept and design of the study, analysis and data interpretation, revised the manuscript and approved the final version. AVPM: Acquisition of data, drafting the manuscript. JVGS : Acquisition, analysis and interpretation of data, drafting the manuscript. VA: Acquisition, analysis and interpretation of data, drafting the manuscript. JPFG: Concept and design of the study, acquisition of data, analysis and data interpretation, revised the manuscript and approved the final version.


Work developed at the Uniort.E – Orthopedic Hospital, Londrina, PR, Brazil.




Publication History

Received: 23 January 2023

Accepted: 26 June 2023

Article published online:
21 March 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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