Superolateral capsule pathway: a new arthroscopic viewing approach for spotting femoral fixation device in anterior cruciate ligament reconstruction

Abstract Background This study aimed to describe the arthroscopic superlateral capsule pathway technique for spotting femoral fixation device deployment, and to compare the results with normal procedure. Methods A total of 69 patients underwent ACLR (Anterior Cruciate Ligament Reconstruction) with o...

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Main Authors: Ming Ding, BingHui Liao, Lei Shangguan, YingChun Wang, Hu Xu
Format: Article
Language:English
Published: BMC 2024-12-01
Series:BMC Musculoskeletal Disorders
Subjects:
Online Access:https://doi.org/10.1186/s12891-024-08232-0
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author Ming Ding
BingHui Liao
Lei Shangguan
YingChun Wang
Hu Xu
author_facet Ming Ding
BingHui Liao
Lei Shangguan
YingChun Wang
Hu Xu
author_sort Ming Ding
collection DOAJ
description Abstract Background This study aimed to describe the arthroscopic superlateral capsule pathway technique for spotting femoral fixation device deployment, and to compare the results with normal procedure. Methods A total of 69 patients underwent ACLR (Anterior Cruciate Ligament Reconstruction) with or without the SCP (superolateral capsule pathway) during procedure were retrospectively selected and evaluated. A total of 36 patients underwent SCP and 33 patients underwent ACLR without SCP. Mean follow-up was 6 months after surgery. All patient noted joint fluid, underwent VAS and Lysholm score at follow-up, and statistical analysis was performed. Results No statistically significant differences were found in patient demographics, ACLR duration time (p = 0.076) and Lysholm score (p = 0.296). Significantly less postoperation pain was reported in the SCP group (p = 0.000), and fluid volume in SCP group was significantly lower (p = 0.001). The postoperative complications were rare in both group. Conclusions The superolateral capsule pathway approach is a minimally invasive and safe technique that can be used to accurately locate and implant suture button-based femoral fixation devices in anterior cruciate ligament reconstruction.
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publishDate 2024-12-01
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spelling doaj-art-60268c3624204f53b8c3014ded6f7d842025-08-20T02:39:49ZengBMCBMC Musculoskeletal Disorders1471-24742024-12-012511710.1186/s12891-024-08232-0Superolateral capsule pathway: a new arthroscopic viewing approach for spotting femoral fixation device in anterior cruciate ligament reconstructionMing Ding0BingHui Liao1Lei Shangguan2YingChun Wang3Hu Xu4Sports Medicine Institution of Orthopaedics, The First Affiliated Hospital of Air Force Military Medical UniversitySports Medicine Institution of Orthopaedics, The First Affiliated Hospital of Air Force Military Medical UniversitySports Medicine Institution of Orthopaedics, The First Affiliated Hospital of Air Force Military Medical UniversitySports Medicine Institution of Orthopaedics, The First Affiliated Hospital of Air Force Military Medical UniversitySports Medicine Institution of Orthopaedics, The First Affiliated Hospital of Air Force Military Medical UniversityAbstract Background This study aimed to describe the arthroscopic superlateral capsule pathway technique for spotting femoral fixation device deployment, and to compare the results with normal procedure. Methods A total of 69 patients underwent ACLR (Anterior Cruciate Ligament Reconstruction) with or without the SCP (superolateral capsule pathway) during procedure were retrospectively selected and evaluated. A total of 36 patients underwent SCP and 33 patients underwent ACLR without SCP. Mean follow-up was 6 months after surgery. All patient noted joint fluid, underwent VAS and Lysholm score at follow-up, and statistical analysis was performed. Results No statistically significant differences were found in patient demographics, ACLR duration time (p = 0.076) and Lysholm score (p = 0.296). Significantly less postoperation pain was reported in the SCP group (p = 0.000), and fluid volume in SCP group was significantly lower (p = 0.001). The postoperative complications were rare in both group. Conclusions The superolateral capsule pathway approach is a minimally invasive and safe technique that can be used to accurately locate and implant suture button-based femoral fixation devices in anterior cruciate ligament reconstruction.https://doi.org/10.1186/s12891-024-08232-0Anterior cruciate ligamentAnterior cruciate ligament reconstructionKnee arthroscopyPathway
spellingShingle Ming Ding
BingHui Liao
Lei Shangguan
YingChun Wang
Hu Xu
Superolateral capsule pathway: a new arthroscopic viewing approach for spotting femoral fixation device in anterior cruciate ligament reconstruction
BMC Musculoskeletal Disorders
Anterior cruciate ligament
Anterior cruciate ligament reconstruction
Knee arthroscopy
Pathway
title Superolateral capsule pathway: a new arthroscopic viewing approach for spotting femoral fixation device in anterior cruciate ligament reconstruction
title_full Superolateral capsule pathway: a new arthroscopic viewing approach for spotting femoral fixation device in anterior cruciate ligament reconstruction
title_fullStr Superolateral capsule pathway: a new arthroscopic viewing approach for spotting femoral fixation device in anterior cruciate ligament reconstruction
title_full_unstemmed Superolateral capsule pathway: a new arthroscopic viewing approach for spotting femoral fixation device in anterior cruciate ligament reconstruction
title_short Superolateral capsule pathway: a new arthroscopic viewing approach for spotting femoral fixation device in anterior cruciate ligament reconstruction
title_sort superolateral capsule pathway a new arthroscopic viewing approach for spotting femoral fixation device in anterior cruciate ligament reconstruction
topic Anterior cruciate ligament
Anterior cruciate ligament reconstruction
Knee arthroscopy
Pathway
url https://doi.org/10.1186/s12891-024-08232-0
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