Journal of the Korean Orthopaedic Association (대한정형외과학회지)

Korean Orthopaedic Association (대한정형외과학회)
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Femoral Tunnel Drilling Techniques in Anterior Cruciate Ligament Reconstruction

전방십자인대 대퇴터널 형성을 위한 방법들과 각각의 장단점

  • Lee, Sang Hak (Department of Orthopaedic Surgery, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University) ;
  • Lee, Myeong Gu (Department of Orthopaedic Surgery, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University)
  • 이상학 (경희대학교 의과대학 강동경희대학교병원 정형외과학교실) ;
  • 이명구 (경희대학교 의과대학 강동경희대학교병원 정형외과학교실)
  • Received : 2020.02.10
  • Accepted : 2020.03.07
  • Published : 2020.08.30
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Abstract

The most recent concept in anterior cruciate ligament reconstruction is an anatomical single bundle anterior cruciate ligament reconstruction. For an anatomical anterior cruciate ligament reconstruction, the tibial tunnel is made anterior than before, and the femoral tunnel is made in a lower and oblique direction compared to the classical method using the transtibial technique. The anteromedial portal technique, outside-in technique, and modified transtibial technique have been performed to produce femoral tunnels with anatomical positions. Each method has different advantages and disadvantages and is chosen based on the operator's preferences, experience, instruments, and implants.

전방십자인대 재건술에 있어서 최근 가장 각광받고 있는 개념은 해부학적 전방십자인대 재건술이다. 경경골 술식을 이용한 고전적인 방법에 비하여 해부학적 재건술을 위해서 경골터널은 이전보다 전방으로 이동하며 대퇴터널은 낮고 비스듬한 방향으로 만들게 된다. 따라서 낮고 비스듬한 해부학적인 위치의 대퇴터널을 만들기 위하여 전내측 도달법을 통한 술식(anteromedial portal technique), outside-in 술식, 그리고 변형된 경경골 술식(modified transtibial technique) 등이 시행되고 있다. 각각의 방법은 장단점이 있어 술자의 선호도, 경험, 사용 가능한 기구 및 이식건의 선택 등에 따라 선택된다.

Keywords

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