Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Apr 16;16(4):e58366.
doi: 10.7759/cureus.58366. eCollection 2024 Apr.

Use of Unidirectional Porous β-Tricalcium Phosphate in the Tibial Tunnel for Anterior Cruciate Ligament Reconstruction: A Case Series

Arata Watanabe  1 , Naoya Kikuchi  2 , Takumi Ichihara  1 , Hiroshi Kumagai  1 , Yu Taniguchi  1 , Yuki Sato  1 , Tomonori Kinugasa  1 , Kotaro Ikeda  1 , Masashi Yamazaki  3
Affiliations

Use of Unidirectional Porous β-Tricalcium Phosphate in the Tibial Tunnel for Anterior Cruciate Ligament Reconstruction: A Case Series

Arata Watanabe et al. Cureus. .

Abstract

Bone defects in the tibial tunnel for anterior cruciate ligament (ACL) reconstruction can cause adverse events. The unidirectional porous tricalcium β-phosphate (UDPTCP) has the potential to be used as a filling substitute for bone defects. In this case series, we present the first nine cases in which UDPTCP was used as a bone substitute in the tibial tunnel during ACL reconstruction. The patients comprised six males and three females, with an average age of 32 years (range: 16-50 years). A cylindrical UDPTCP measuring 10 x 20 mm was molded to fit the tibial tunnel and then implanted. At the one-year postoperative follow-up, none of the patients demonstrated any complications, and bone remodeling was observed on radiographs. Therefore, UDPTCP may provide a safe and reliable filling substitute for the tibial tunnel in ACL reconstruction.

Keywords: anterior cruciate ligament reconstruction; bone remodeling; synthetic bone; tibial tunnel; unidirectional porous β-tricalcium phosphate.

PubMed Disclaimer

Conflict of interest statement

The authors have declared financial relationships, which are detailed in the next section.

Figures

Figure 1
Figure 1. Measurement of the UDPTCP area (yellow rectangle) in (a) antero-posterior and (b) lateral views of radiograph
Figure 2
Figure 2. Antero-posterior and lateral views of radiographs at (a) immediate postoperative and (b) one year postoperative for case 4
Figure 3
Figure 3. Antero-posterior and lateral views of radiographs at (a) immediate postoperative and (b) one year postoperative for case 7
See this image and copyright information in PMC

References

    1. Return to high school- and college-level football after anterior cruciate ligament reconstruction: a Multicenter Orthopaedic Outcomes Network (MOON) cohort study. McCullough KA, Phelps KD, Spindler KP, Matava MJ, Dunn WR, Parker RD, Reinke EK. Am J Sports Med. 2012;40:2523–2529. - PMC - PubMed
    1. Clinical outcomes, return to sports, and patient satisfaction after anterior cruciate ligament reconstruction in young and middle-aged patients in an Asian population - a 2-year follow-up study. Tay KS, Tan AH. Arthroscopy. 2018;34:1054–1059. - PubMed
    1. Outcomes and complication rates after primary anterior cruciate ligament reconstruction are similar in younger and older patients. Cinque ME, Chahla J, Moatshe G, DePhillipo NN, Kennedy NI, Godin JA, LaPrade RF. Orthop J Sports Med. 2017;5 - PMC - PubMed
    1. Peri-anterior cruciate ligament reconstruction femur fracture: a biomechanical analysis of the femoral tunnel as a stress riser. Han Y, Sardar Z, McGrail S, Steffen T, Martineau PA. Knee Surg Sports Traumatol Arthrosc. 2011;19:0–85. - PubMed
    1. Uncommon complications after anterior cruciate ligament reconstruction. Palazzolo A, Rosso F, Bonasia DE, Saccia F, Rossi R. Joints. 2018;6:188–203. - PMC - PubMed

LinkOut - more resources