✅ Knee MRI Mastery/Chap 2.ACL and PCL

(Fig 2-C.05) Remnant preservation ACL reconstruction

MSK MRI 2024. 3. 2. 09:29

https://youtu.be/tzyZ4YJi3bM

https://youtu.be/uDgqFi3itg0

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ACL Reconstruction with Remnant Preservation

1️⃣  Advantages

  • Faster Healing: Accelerates graft revascularization and remodeling.
  • Improved Sensation: Preserves proprioceptive fibers
  • Better Healing Environment: Enhances the biological setting for recovery.
  • Stable Anchor Point: Maintains natural attachment at the tibia, supporting knee stability.
  • Reduced Tunnel Enlargement: Lowers the risk of tibial tunnel widening.

2️⃣ Disadvantages

  • Surgical Challenges: May complicate tibial tunnel placement and risk cyclops lesion formation.
  • Technical Demands: Requires high surgical expertise.

3️⃣ Clinical Evidence

  • Studies are varied and show promising but not definitive evidence for the superiority of remnant preservation in ACL reconstruction. 

 

Rothrauff BB, et al. J ISAKOS 2020;5:128–133

Arthroscopy. 2011 Aug;27(8):1079-89.

 

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