All-Inside anterior cruciate ligament reconstruction

master's thesis

• Title (croatian): Rekonstrukcija prednjeg križnog ligamenta tehnikom “All Inside”
• Author: Bastian So-Song Schumacher
• Mentor: Mislav Jelić (mentor)
• Committee member: Mislav Jelić (predsjednik povjerenstva)
• Committee member: Domagoj Delimar (član povjerenstva)
• Committee member: Tomislav Đapić (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Orthopedics); Zagreb
• Defense date and country: 2021-07-16, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Orthopedics

Abstract

Rupture of the anterior cruciate ligament (ACL) remains one of the most frequent orthopaedic pathologies, especially affecting the young population. The aim of the ACL reconstruction surgery is to restore the original stability and functionality of the knee joint, enabling the individual to return to the previous level of physical activity. A variety of surgical techniques have been introduced mainly differing in graft selection, positioning, drilling, fixation and tensioning. The all-inside ACL reconstruction technique including its two closed socket tunnels, double suspensory fixation and smaller skin incisions, features a unique improvement over the standard technique. This fairly new technique is therefore gaining popularity as a more anatomic and less invasive option with the potential for a faster and better recovery. The goal of this review is to present and explain all surgical steps of the all-inside ACL reconstruction procedure, to outline the advantages and challenges of this technique and to analyse and compare the outcome to previous methods.

Abstract (croatian)

Oštećenje prednjeg križnog ligamenta (PKL) predstavlja jednu od najčešćih ortopedskih patologija, koja posebice pogađa mlađu populaciju. Cilj rekonstrukcije PKL jest uspostava prvotne stabilnosti i funkcionalnosti zgloba koljena, omogućavajući pojedincu povratak prethodnom stupnju fizičke aktivnosti. Uvedene su razne operacijske tehnike koje se uglavnom razlikuju u izboru transplantata, pozicioniranju, bušenju, fiksiranju i zatezanju. Rekonstrukcija prednjeg križnog ligamenta tehnikom
“All Inside”, koja uključuje dvije zatvorene čahure, dvostruku suspenzorsku fiksaciju i manje rezove na koži, predstavlja jedinstveni napredak u odnosu na standardni postupak. Ova relativno nova metoda stoga zadobiva popularnost kao više anatomska i manje invazivna opcija s potencijalom za brži i bolji oporavak. Cilj ovog pregleda jest predstaviti i objasniti sve kirurške korake “All-Inside“ PKL rekonstrukcijske procedure, naglasiti prednosti i izazove ove tehnike te analizirati i usporediti ishod s prijašnjim postupcima.

• Keywords: anterior cruciate ligament; ACL; ACL rupture; all-inside technique; ACL reconstruction; retrograde drilling; closed socket tunnel; tibial socket; femoral socket; graft preparation; graft fixation; suspensory fixation
• Keywords (croatian): prednji križni ligament; PKL; ruptura prednjeg križnog ligamenta; tehnika “All Inside”; rekonstrukcija prednjeg križnog ligamenta; retrogradno bušenje; zatvorena čahura; tibijalna čahura; femoralna čahura; preparacija presatka; fiksacija presatka; fiksacija suspenzora
• Language: english
• URN:NBN: urn:nbn:hr:105:193967
• Study programme: Title: Medicine (in English language); Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2021-12-22 10:12:59