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The Archives of Bone and Joint Surgery، جلد ۵، شماره ۶، صفحات ۴۱۷-۴۲۳
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عنوان انگلیسی Comparison of Clinical Outcomes between Different Femoral Tunnel Positions after Anterior Cruciate Ligament Reconstruction Surgery
چکیده انگلیسی مقاله Background: It has been shown that the proper placement of ACL graft during the ACL reconstruction surgerysignificantly improves the clinical outcomes. This study investigated whether a change in the femoral tunnel position inboth axial and coronal planes can significantly alter the postoperative functional and clinical outcomes of the patients.Methods: This comparative, retrospective, single-center study was performed on 44 patients undergone single-bundleanterior cruciate ligament reconstruction (ACLR). Radiographic assessments were done to evaluate the tunnel positionin coronal and axial planes. Patients were classified into 4 groups based on radiographic data. The time intervalbetween surgery and last visit averaged 23.6 ± 2.2 months (18-30 mos.). Lysholm knee score and Cincinnati scorewere completed for all of the patients. Furthermore, the Lachman, anterior drawer and pivot-shift tests were performed.Results: Of the 44 patients included in the study, 9 patients (20.4%) were classified as the low-anterior group,17(38.6%) were classified as the low-posterior group and 18(40.9%) were classified as the high-posterior group. Noneof the patients were included in high-anterior group. A greater mean Lysholm score (96±3) in low-posterior group wasthe only significant difference between the three groups (P< 0.001).Conclusion: Findings of the current study demonstrated that low-posterior placement of the ACL graft through theintercondylar notch, based on both antero-posterior (AP) and tunnel-view x-rays, is associated with better clinicaloutcomes in short-term compared to the routine tunnel placements.
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نویسندگان مقاله سید کاظمی | seyed m kazemi
bone, joint and related tissues research center, akhtar hospital, shahid beheshti university of medical sciences, tehran, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی شهید بهشتی (Shahid beheshti university of medical sciences)

محمدرضا عباسیان | mohammad r abbasian
bone, joint and related tissues research center, akhtar hospital, shahid beheshti university of medical sciences, tehran, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی شهید بهشتی (Shahid beheshti university of medical sciences)

علی اکبر اسماعیلی جاه | ali a esmailijah
bone, joint and related tissues research center, akhtar hospital, shahid beheshti university of medical sciences, tehran, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی شهید بهشتی (Shahid beheshti university of medical sciences)

علی ظفری | ali zafari
faculty of medicine, shahid beheshti university of medical sciences, tehran, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی شهید بهشتی (Shahid beheshti university of medical sciences)

زهرا صالحی شهربابکی | zahra salehi shahrbabaki
faculty of medicine, shahid beheshti university of medical sciences, tehran, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی شهید بهشتی (Shahid beheshti university of medical sciences)

امیرحسین کشاورز | amir h keshavarz
bone, joint and related tissues research center, akhtar hospital, shahid beheshti university of medical sciences, tehran, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی شهید بهشتی (Shahid beheshti university of medical sciences)

نینا esmaeilijah | nina esmaeilijah
faculty of dentistry, tabriz university of medical sciences, tabriz, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تبریز (Tabriz university of medical sciences)

فرشاد صفدری | farshad safdari
bone, joint and related tissues research center, akhtar hospital, shahid beheshti university of medical sciences, tehran, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی شهید بهشتی (Shahid beheshti university of medical sciences)

نشانی اینترنتی http://abjs.mums.ac.ir/article_8774.html
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