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A novel technique for bone debris clearance during anterior cruciate ligament reconstruction
- Source :
- Journal of Arthroscopy and Joint Surgery. 6:131-132
- Publication Year :
- 2019
- Publisher :
- Medknow, 2019.
-
Abstract
- Background Anterior cruciate ligament (ACL) reconstruction using hamstring graft or bone-patella-bone graft results in the accumulation of bone debris within the knee joint. This has been identified as a causative factor in post-operative complications, including knee effusion and osteophyte generation. This technical note describes a technique aiming to reduce the accumulation of bone debris within the knee joint following ACL reconstruction. Method Following creation of the femoral tunnel using a retrograde reamer during ACL reconstruction, the reamer is removed and the femoral tunnel guide left in place. In the attempt to reduce the presence of bone debris, a 20 ml syringe of sterile saline is then injected at high pressure through the guide and femoral tunnel from outside to in. Results In our experience, this additional operative step significantly reduced the accumulation of bone debris within the femoral canal during ACL reconstruction. Conclusions We conclude that this simple additional step can reduce bone debris left within the joint during ACL reconstruction.
- Subjects :
- 030222 orthopedics
medicine.medical_specialty
Anterior cruciate ligament reconstruction
business.industry
medicine.medical_treatment
Anterior cruciate ligament
Femoral canal
030229 sport sciences
Knee Joint
musculoskeletal system
Debris
Surgery
03 medical and health sciences
0302 clinical medicine
medicine.anatomical_structure
Knee effusion
medicine
Orthopedics and Sports Medicine
Reamer
medicine.symptom
business
human activities
Hamstring
Subjects
Details
- ISSN :
- 22149635
- Volume :
- 6
- Database :
- OpenAIRE
- Journal :
- Journal of Arthroscopy and Joint Surgery
- Accession number :
- edsair.doi...........f0de66e5805b86bd70853f768a1a3aa5