POSTER ABSTRACTS - ISAKOS

E-poster #302
Complications during ACL reconstruction using
BPTB our experience of first 100 cases
Chaudhary Deepak, New Delhi, INDIA, Presenter
Bhatia Naval, New Delhi, INDIA
Singh Awdesh, New Delhi, INDIA
Central Institute of Orthopaedics, New Delhi,
INDIA
Introduction Arthroscopic ACL Reconstruction
using BPTB technique is extremely popular and is
still considered Gold standard for restoring knee
stability.However the technique requires high
level of psychomotor skills and has a steep
learning curve.During this learning period a
number of complications can occur which are
unavoidable.Once a high level of psychomotor
skills are achieved, the rate of complications
should be very low and the procedure can then be
performed in a reproducible ansd systemic
manner every time
.Methods One hundred ACL Reconstuctions were
performed between January 2000 and April 2002 at
our institute
Results The complications encounterd during the
ACL reconstuction in our series are as under
Complications
Number
1. Blow out of the Posterior Femur cortex
4
2. Anterior Placement of Femur Tunnel
5
3.Mismatch of Graft and Tunnel length
7
4.Divergent Femur Screw
9
5.Anterior placement of Tibial Tunnel
3
6.Fracture of Bone Plugs
3
7.Loose Hardware in the joint
2
8. Patellar fracture
1
Conclusions Arthroscopic ACL reconstruction is a
demanding technique that requires precision
instrumentation,a high level of psychomotor
skills and a knowledgeable surgical team.With
close attention to the details of the procedure
,complications should be rare.When problems do
occur ,they should be promptly recognized and
addressed.
E-poster #303
Hour-glass (Bargash) Technique in
Arthroscopic ACL Reconstruction Using Semi-T
and Gracilis Quadruple Graft
Nael Bargash, UNITED ARAB EMIRATES,
Presenter
Damanhour Medical National Institute,
Damanhour, EGYPT
Semi-T and gracilis quadruple graft nowadays is a
well recognized and accepted technique for
arthroscopic ACL reconstruction.
Several techniques for fixing of the graft have
been described but each has its own limitations
and hazards.
Our aim is to describe a new technique for
fixation of the femoral component without
interference screw or any other hardware by
nubbing the tendons on themselves after creating
an Hour-Glass femoral tunnel.
Thirty seven patients with clinically and
radiologically proven ACL tears were operated by
arthroscopic ACL reconstruction using an
autogenous Semi-T and gracilis quadruple graft.
All patients are active male athletes with mean
age of 27 years.
All patients were assessed preoperatively and at
12 and 24 months postoperatively by the author
using the International Knee Documentation
Committee (IKDC) and the Lysholm knee scoring
system. 93 % of the patients were normal or nearly
normal
The preliminary results of this technique are very
encouraging. Of greatest advantage is being more
physiological allowing a direct tendon to bone
healing without intervening hardware, normal
bone stock in case of revision surgery and the
avoidance of any intra-articular hardware related
complication.
E-poster #304
Anatomical Angle of the Anterior Cruciate
Ligament in the Coronal Plane
Masaaki Takahashi, Hamamatsu, Shizuoka
JAPAN, Presenter
Mitsuhito Doi, Hamamatsu, Shizuoka JAPAN
Masashi Abe, Hamamatsu, Shizuoka JAPAN
Daisuke Suzuki, Hamamatsu, Shizuoka JAPAN
Yu Yamato, Hamamatsu, Shizuoka JAPAN
Akira Nagano, Hamamatsu, Shizuoka JAPAN
Hamamatsu University School of Medicine,
Hamamatsu, Shizuoka, JAPAN