EVALUATION OF MORPHOLOGICAL CHANGES IN BONE TUNNELS AFTER ACL RECONSTRUCTION: A SYSTEMATIC REVIEW
DOI:
https://doi.org/10.46827/ejphs.v6i2.161Keywords:
ACL reconstruction, morphology, tunnel widening, graft typeAbstract
This study aimed to gain a comprehensive understanding of the morphologic changes in femoral and tibial bone tunnels after ACLR, various graft types, fixation techniques, and their effects on graft maturation and clinical outcomes. From January 2014 to September 2023, a literature search was performed in the PubMed database using the terms "ACL reconstruction", "morphological change" and "tunnel" and "imaging" or "CT" or "computed tomography" or "MRI" or "magnetic resonance imaging" or "radiography". Only full-text published articles were included, with no language preference. In 11 studies, the criteria for examining the morphologic changes in the tunnels after ACLR were classified according to the graft methods used, tibial and femoral tunnel measurements, and imaging methods, and the results of healing and morphologic changes in the tunnels were examined. When the results of the studies were evaluated in general, it was concluded that healing and proper morphology in the tunnels were associated with graft health and tunnel width. Therefore, it was concluded that the most appropriate healing and morphologic shape would be obtained by determining the points to be opened well before tunneling and placing the graft in the most proper and anatomical way.References
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