PMID- 10024032
OWN - NLM
STAT- MEDLINE
DCOM- 19990413
LR  - 20220318
IS  - 0749-8063 (Print)
IS  - 0749-8063 (Linking)
VI  - 15
IP  - 1
DP  - 1999 Jan-Feb
TI  - Reduction of femoral interference screw divergence during endoscopic anterior 
      cruciate ligament reconstruction.
PG  - 41-8
AB  - One of the complications of endoscopic anterior cruciate ligament (ACL) 
      reconstruction is femoral interference screw divergence, usually occurring when 
      the femoral screw insertion is different than the portal used for reaming the 
      femoral tunnel. A new technique using a StraightShot graft passer (DePuy 
      Orthopaedic Technology, Tracy, CA) allows the safe passage of a 7 mm M. Kurosaka 
      Advantage cannulated femoral interference screw (DePuy) through the tibial tunnel 
      with the patella tendon graft fully in position. This study compares femoral 
      interference screw divergence in bone-patellar tendon-bone ACL reconstruction 
      using two different screw insertion portals: the accessory anteromedial patella 
      portal and the tibial tunnel portal (StraightShot technique). A radiographic 
      analysis of 81 consecutive endoscopic ACL reconstructions was performed. The 
      total divergence of each femoral screw was measured on both anteroposterior and 
      lateral radiographs and then combined. Group I had the 7-mm femoral screw 
      inserted through the accessory anteromedial patella portal; group II had the 
      femoral screw inserted directly through the tibial tunnel. Group I showed more 
      than 10 degrees of divergence in 50% of the cases, compared with only 4% percent 
      in group II. The average divergence dropped from 11.3 degrees in group I to 1.2 
      degrees in group II. Femoral interference screw divergence can be virtually 
      eliminated by inserting the femoral screw directly through the tibial tunnel 
      using the StraightShot technique.
FAU - Schroeder, F J
AU  - Schroeder FJ
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - United States
TA  - Arthroscopy
JT  - Arthroscopy : the journal of arthroscopic & related surgery : official 
      publication of the Arthroscopy Association of North America and the International 
      Arthroscopy Association
JID - 8506498
RN  - 0 (Coated Materials, Biocompatible)
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Anterior Cruciate Ligament/diagnostic imaging/pathology/*surgery
MH  - Arthrography
MH  - Arthroscopy
MH  - Bone Screws/*adverse effects
MH  - Coated Materials, Biocompatible
MH  - *Endoscopes
MH  - Endoscopy/adverse effects
MH  - Female
MH  - Femur/diagnostic imaging/pathology/*surgery
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Patella/transplantation
MH  - Postoperative Complications/diagnosis/*etiology/surgery
MH  - Reoperation
MH  - Retrospective Studies
MH  - Tibia/diagnostic imaging/pathology/surgery
MH  - Treatment Outcome
EDAT- 1999/02/19 00:00
MHDA- 1999/02/19 00:01
CRDT- 1999/02/19 00:00
PHST- 1999/02/19 00:00 [pubmed]
PHST- 1999/02/19 00:01 [medline]
PHST- 1999/02/19 00:00 [entrez]
AID - S0749-8063(99)00158-9 [pii]
AID - 10.1053/ar.1999.v15.015004 [doi]
PST - ppublish
SO  - Arthroscopy. 1999 Jan-Feb;15(1):41-8. doi: 10.1053/ar.1999.v15.015004.