대한정형외과학회지 (Journal of the Korean Orthopaedic Association)

  • 제55권4호
  • /
  • Pages.305-310
  • /
  • 2020
  • /
  • 1226-2102(pISSN)
  • /
  • 2005-8918(eISSN)
대한정형외과학회 (Korean Orthopaedic Association)
권호 표지
DOI QR코드

DOI QR Code

해부학적 전방십자인대 재건술을 위한 터널의 위치

Tunnel Position for Anatomical Reconstruction of the Anterior Cruciate Ligament

  • 이진규 (한양대학교 의과대학 정형외과학교실) ;
  • 양재혁 (한양대학교 의과대학 정형외과학교실)
  • Lee, Jin Kyu (Department of Orthopaedic Surgery, Hanyang University College of Medicine) ;
  • Yang, Jae-Hyuk (Department of Orthopaedic Surgery, Hanyang University College of Medicine)
  • 투고 : 2019.12.03
  • 심사 : 2020.01.18
  • 발행 : 2020.08.30
⟨ 이전 논문 다음 논문 ⟩

초록

최근 전방십자인대 재건술 시 기존 해부학적 부착부(footprint)에 터널을 형성하는 해부학적 재건술의 개념이 도입되었다. 그러나 아직까지 해부학적 전방십자인대 재건술을 위한 터널의 정확한 위치에 대한 논란이 있는 실정이다. 본 종설은 슬관절의 전방십자 인대 재건술 시 중요한 지표가 되는 해부학적 부착부에 대하여 논하고자 한다.

The review provides updated concepts regard to the anatomy of the anterior cruciate ligament (ACL) footprints. The concept of anatomical ACL reconstruction, in which the graft is placed in the native ACL insertion area, has been introduced. However, there is still no consensus on the anatomical positioning of the femoral and tibial tunnel. In this study, authors review and update the literature regarding the tunnel position for anatomical ACL reconstruction.

키워드

참고문헌

  1. Singh N. International epidemiology of anterior cruciate ligament injuries. Ortho Res Online J. 2018;1:94-6.
  2. Khalfayan EE, Sharkey PF, Alexander AH, Bruckner JD, Bynum EB. The relationship between tunnel placement and clinical results after anterior cruciate ligament reconstruction. Am J Sports Med. 1996;24:335-41. https://doi.org/10.1177/036354659602400315
  3. MARS Group, Wright RW, Huston LJ, et al. Descriptive epidemiology of the Multicenter ACL Revision Study (MARS) cohort. Am J Sports Med. 2010;38:1979-86. https://doi.org/10.1177/0363546510378645
  4. Zehir S, Sahin E, Songur M, Kalem M. Conventional trans-tibial versus anatomic medial portal technique for femoral tunnel preparation in anterior cruciate ligament reconstruction; comparison of clinical outcomes. Niger J Clin Pract. 2016;19:475-9. https://doi.org/10.4103/1119-3077.183304
  5. Samitier G, Marcano AI, Alentorn-Geli E, Cugat R, Farmer KW, Moser MW. Failure of anterior cruciate ligament reconstruction. Arch Bone Jt Surg. 2015;3:220-40.
  6. Mehta A, Lin CC, Campbell RA, et al. Effects of anteromedial portal versus transtibial ACL tunnel preparation on contact characteristics of the graft and the tibial tunnel aperture. Clin Orthop Surg. 2019;11:52-9. https://doi.org/10.4055/cios.2019.11.1.52
  7. Garofalo R, Moretti B, Kombot C, Moretti L, Mouhsine E. Femoral tunnel placement in anterior cruciate ligament reconstruction: rationale of the two incision technique. J Orthop Surg Res. 2007;2:10. https://doi.org/10.1186/1749-799X-2-10
  8. Ferretti M, Levicoff EA, Macpherson TA, Moreland MS, Cohen M, Fu FH. The fetal anterior cruciate ligament: an anatomic and histologic study. Arthroscopy. 2007;23:278-83. https://doi.org/10.1016/j.arthro.2006.11.006
  9. Duthon VB, Barea C, Abrassart S, Fasel JH, Fritschy D, Menetrey J. Anatomy of the anterior cruciate ligament. Knee Surg Sports Traumatol Arthrosc. 2006;14:204-13. https://doi.org/10.1007/s00167-005-0679-9
  10. Petersen W, Zantop T. Anatomy of the anterior cruciate ligament with regard to its two bundles. Clin Orthop Relat Res. 2007;454:35-47. https://doi.org/10.1097/BLO.0b013e31802b4a59
  11. Schillhammer CK, Reid JB 3rd, Rister J, et al. Arthroscopy up to date: anterior cruciate ligament anatomy. Arthroscopy. 2016;32:209-12. https://doi.org/10.1016/j.arthro.2015.10.009
  12. Janovsky C, Kaleka CC, Alves MT, Ferretti M, Cohen M. Synovial C-shaped tibial footprint of the anterior cruciate ligament. Orthop J Sports Med. 2016;4:2325967116671300.
  13. Burnham JM, Malempati CS, Carpiaux A, Ireland ML, Johnson DL. Anatomic femoral and tibial tunnel placement during anterior cruciate ligament reconstruction: anteromedial portal all-inside and outside-in techniques. Arthrosc Tech. 2017;6:e275-82. https://doi.org/10.1016/j.eats.2016.09.035
  14. Prodromos CC, Fu FH, Howell SM, Johnson DH, Lawhorn K. Controversies in soft-tissue anterior cruciate ligament reconstruction: grafts, bundles, tunnels, fixation, and harvest. J Am Acad Orthop Surg. 2008;16:376-84. https://doi.org/10.5435/00124635-200807000-00003
  15. Kopf S, Musahl V, Tashman S, Szczodry M, Shen W, Fu FH. A systematic review of the femoral origin and tibial insertion morphology of the ACL. Knee Surg Sports Traumatol Arthrosc. 2009;17:213-9. https://doi.org/10.1007/s00167-008-0709-5
  16. Komzak M, Hart R, Okal F, Safi A. AM bundle controls the anterior-posterior and rotational stability to a greater extent than the PL bundle - a cadaver study. Knee. 2013;20:551-5. https://doi.org/10.1016/j.knee.2013.03.012
  17. Gardner EJ, Noyes FR, Jetter AW, Grood ES, Harms SP, Levy MS. Effect of anteromedial and posterolateral anterior cruciate ligament bundles on resisting medial and lateral tibiofemoral compartment subluxations. Arthroscopy. 2015;31:901-10. https://doi.org/10.1016/j.arthro.2014.12.009
  18. Kawaguchi Y, Kondo E, Takeda R, Akita K, Yasuda K, Amis AA. The role of fibers in the femoral attachment of the an- terior cruciate ligament in resisting tibial displacement. Arthroscopy. 2015;31:435-44. https://doi.org/10.1016/j.arthro.2014.08.033
  19. Benjamin M, Moriggl B, Brenner E, Emery P, McGonagle D, Redman S. The "enthesis organ" concept: why enthesopathies may not present as focal insertional disorders. Arthritis Rheum. 2004;50:3306-13. https://doi.org/10.1002/art.20566
  20. Nawabi DH, Tucker S, Schafer KA, et al. ACL fibers near the lateral intercondylar ridge are the most load bearing during stability examinations and isometric through passive flexion. Am J Sports Med. 2016;44:2563-71. https://doi.org/10.1177/0363546516652876
  21. van Eck CF, Schreiber VM, Mejia HA, et al. "Anatomic" anterior cruciate ligament reconstruction: a systematic review of surgical techniques and reporting of surgical data. Arthroscopy. 2010;26(9 Suppl):S2-12. https://doi.org/10.1016/j.arthro.2010.03.005
  22. Xu H, Zhang C, Zhang Q, et al. A systematic review of anterior cruciate ligament femoral footprint location evaluated by quadrant method for single-bundle and double-bundle anatomic reconstruction. Arthroscopy. 2016;32:1724-34. https://doi.org/10.1016/j.arthro.2016.01.065
  23. Bernard M, Hertel P, Hornung H, Cierpinski T. Femoral insertion of the ACL. Radiographic quadrant method. Am J Knee Surg. 1997;10:14-21.
  24. Hussin EA, Aldaheri A, Alharbi H, Farouk HA. Modified transtibial versus anteromedial portal techniques for anterior cruciate ligament reconstruction, a comparative study. Open Access J Sports Med. 2018;9:199-213. https://doi.org/10.2147/oajsm.s157729
  25. Sohn OJ, Lee DC, Park KH, Ahn HS. Comparison of the modified transtibial technique, anteromedial portal technique and outside-in technique in ACL reconstruction. Knee Surg Relat Res. 2014;26:241-8. https://doi.org/10.5792/ksrr.2014.26.4.241