The potential complication of a central patellar portal technique for arthroscopic anterior cruciate ligament reconstruction
ESSKA Academy. Goto K. Nov 8, 2019; 284420; epESMA-04 Topic: Arthroscopic Surgery
Kazumi Goto
Kazumi Goto
Login now to access Regular content available to all registered users.

You can access free non-premium educational content on the ESSKA Academy Portal by registering for free as 'ESSKA Academy User' here
Discussion Forum (0)
Rate & Comment (0)
The potential complication of a central patellar portal technique for arthroscopic anterior cruciate ligament reconstruction

ePoster - epESMA-04

Topic: Sports Trauma

Goto K.1, Taketomi S.2, Shimizu N.1
1Toshiba Rinkan Hospital, Sagamihara-shi, Japan, 2Tokyo University, Tokyo, Japan

PurposeThe central patellar (CP) portal is a very useful portal to look at the native femoral insertion site of the anterior cruciate ligament (ACL). It aids in the drilling of an anatomical tunnel; however, the impact of the patellar tendon or the infrapatellar fat pad remains a concern. The aim of this study was to investigate complication of the CP portal for arthroscopic ACL reconstruction (ACLR).
Methods: A total of 105 patients (107 knees), who underwent ACLR using the CP portal technique from 2012 to 2017, were included in this study. The mean patient age was 28.3 years amongst 45 male and 60 female patients. The mean follow-up duration was 23.3 months. All surgeries were single bundle reconstructions with hamstring tendon autografts using a trans tibial technique via the CP and anteromedial portals. This study aims to investigate the post-operative events, magnetic resonance images (MRI), and arthroscopic findings that would be associated with CP portal creating.
Results: There were five cases (4.7%) who had any symptomatic postoperative complications. Abnormal signal intensity of patellar tendon and increased thickness was found in 18 of 25 knees (72%) at the level of CP portal trace. Three of 56 knees (5.4%), which had undergone second-look arthroscopy, showed fibrosis of the infrapatellar fat pad. Seven cases (12.5%) showed hypertrophy of the ligamentum mucosum.
Conclusion: The rate of symptomatic complications associated with CP portal placement was 4.7% in our study. However abnormal findings in MRI or follow-up arthroscopy were much higher than clinical symptomatic cases.
Code of conduct/disclaimer available in General Terms & Conditions
Anonymous User Privacy Preferences

Strictly Necessary Cookies (Always Active)

MULTILEARNING platforms and tools hereinafter referred as “MLG SOFTWARE” are provided to you as pure educational platforms/services requiring cookies to operate. In the case of the MLG SOFTWARE, cookies are essential for the Platform to function properly for the provision of education. If these cookies are disabled, a large subset of the functionality provided by the Platform will either be unavailable or cease to work as expected. The MLG SOFTWARE do not capture non-essential activities such as menu items and listings you click on or pages viewed.

Performance Cookies

Performance cookies are used to analyse how visitors use a website in order to provide a better user experience.

Google Analytics is used for user behavior tracking/reporting. Google Analytics works in parallel and independently from MLG’s features. Google Analytics relies on cookies and these cookies can be used by Google to track users across different platforms/services.

Save Settings