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Related Concept Videos

Ankle Joint01:10

Ankle Joint

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The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
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The tibia is the main weight-bearing bone of the lower leg. It is larger than the fibula with which it is paired. The tibia is also the second longest bone in the body and is located right below the skin. The proximal end of the tibia forms the medial and the lateral condyle, which articulates with the condyles of the femur to form the knee joint. Between the articulating surfaces is the irregular elevated area known as the intercondylar eminence that serves as the inferior attachment point for...
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ACL double bundle linked cortical-aperture tibial fixation: a technical note.

John Nyland1, Yee Han Dave Lee, Mark McGinnis

  • 1Division of Sports Medicine, Department of Orthopaedic Surgery, University of Louisville, Louisville, KY, 40202, USA, jnyland@spalding.edu.

Archives of Orthopaedic and Trauma Surgery
|April 15, 2014
PubMed
Summary
This summary is machine-generated.

This study presents a novel all-inside anterior cruciate ligament (ACL) reconstruction technique using combined tibial fixation methods. The technique demonstrated strong biomechanical performance, suggesting improved graft healing and patient outcomes for ACL repair.

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Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering
  • Sports Medicine

Background:

  • Anterior Cruciate Ligament (ACL) injuries are common, necessitating effective surgical reconstruction techniques.
  • Current ACL reconstruction methods face challenges in achieving optimal graft fixation and integration.
  • An all-inside technique aims to simplify the procedure and potentially improve outcomes.

Purpose of the Study:

  • To describe and evaluate the tibial fixation characteristics of a novel all-inside anatomic ACL reconstruction.
  • To assess the biomechanical performance of a technique combining extra-cortical button suspensory and aperture fixation for soft tissue grafts.

Main Methods:

  • Utilized porcine tibiae to test an all-inside ACL reconstruction with combined tibial fixation.
  • Employed a 55° drill guide and Flipcutter for socket and channel creation.
  • Performed biomechanical testing, including cyclic loading and load-to-failure analysis.

Main Results:

  • The novel fixation method demonstrated robust biomechanical properties, with high ultimate load to failure (671.4 ± 98 N) and stiffness (127.5 ± 15 N/mm).
  • Displacement during cyclic loading was minimal (2.8 ± 0.9 mm).
  • The primary failure mode observed was suture pull-through of the soft tissue graft.

Conclusions:

  • The described tibial fixation method effectively combines the benefits of suspensory and aperture fixation for ACL reconstruction.
  • Biomechanical results are comparable or superior to existing literature, indicating potential for enhanced graft-bone integration and long-term graft survival.
  • Further clinical studies are warranted to validate the in vivo efficacy and patient outcomes of this technique.