Copyright
©The Author(s) 2021.
World J Meta-Anal. Oct 28, 2021; 9(5): 411-437
Published online Oct 28, 2021. doi: 10.13105/wjma.v9.i5.411
Published online Oct 28, 2021. doi: 10.13105/wjma.v9.i5.411
Hamstrings | BTB | Quadriceps | |
Cross-sectional area | Good to excellent | Fair to good | Good to excellent |
Mechanical strength | Good | Good to excellent | Excellent |
Adjustment of graft length | Possible | Difficult | Easy |
All-inside technology | Easy | Sometimes difficult | Easy |
Preservation of remnant | Possible | Sometimes difficult | Sometimes difficult |
Double bundle | Easy | Difficult | Possible |
Graft fixation | |||
Femoral | Cortical button | Interference screw | Interference screw |
(metalic > bioabsorbable) | (metalic > bioabsorbable) | ||
Cortical button | Cortical button | ||
Tibial | Cortical button | Interference screw | Cortical button |
Interference screw | (metallic ≥ bioabsorbable) | Interference screw | |
(metalic < bioabsorbable) | |||
Post fixation | |||
Complication | Nerve injury | Patellar fracture | Patellar fracture |
(infra-patellar branches of the saphenous nerve) | |||
Decrease of Flexor muscle strength | Kneeling pain | ||
Anterior knee pain | |||
Decrease of extensor muscle strength | Decrease of extensor muscle strength | ||
Indication | |||
Recommend | Amateur athlete | Amateur and professional athlete | Amateur and professional athlete |
(high-intensity sports) | (high-intensity sports) | ||
Revision surgery | |||
Not recommend | Ballet dancer | Wrestler, Judo, Karate |
Independent technique | Dependent technique | ||||
Anteromedial | Outside-in | TT | Modified TT | TT with modified devices | |
Femoral tunnel position | Anatomical | Anatomical | Somewhat unanatomical | Anatomical | Anatomical |
Complexity of technique | Relatively simple | Somewhat complicated | Simple | Simple | Simple |
Conventional technique | All-inside technique | |
Invasiveness in the tibial tunnel | ||
Bone damage | Moderate | Minor |
Bleeding | Moderate | Minor |
Invasiveness during autograft harvesting | Minor or moderate | Minor |
Postoperative pain | Moderate | Minor |
Complexity of surgery | Minor | Moderate |
- Citation: Takahashi T, Watanabe S, Ito T. Current and future of anterior cruciate ligament reconstruction techniques. World J Meta-Anal 2021; 9(5): 411-437
- URL: https://www.wjgnet.com/2308-3840/full/v9/i5/411.htm
- DOI: https://dx.doi.org/10.13105/wjma.v9.i5.411