BACKGROUND: The current trend in anterior cruciate ligament (ACL) reconstruction has shifted to anatomical double-bundle (DB) reconstruction, which reproduces both the anteromedial bundle (AMB) and the posterolateral bundle (PLB) of the ACL. Navigation systems have also been recently introduced to orthopedic surgical procedures, including ACL reconstruction. In DB-ACL reconstruction, the femoral and tibial tunnel positions are very important, but a representation of the ACL footprint under an arthroscopic view has not been established even though navigation systems have been introduced. The purpose of this study was to evaluate the anatomical footprints of both the AMB and the PLB using the representation method for application to arthroscopic DB-ACL reconstruction using a navigation system, and to evaluate the validity of the currently determined footprint position compared with other representation methods. METHODS: Thirty-six cadaveric knees were used for an anatomical evaluation of footprints of the AMB and PLB. On the tibial side, the ACL footprints were evaluated using an original method. On the femoral side, the ACL footprints were evaluated using Watanabe's method and three other methods: (1) the quadrant method, (2) Mochizuki's method, and (3) Takahashi's method. RESULTS: The central points of the ACL footprints were represented almost constantly. The present data is in accordance with previous measurement data. CONCLUSION: This study showed that the anatomical data of the ACL femoral and tibial footprints determined with Watanabe's method at the femoral side and our original method at the tibial side were both applicable to arthroscopic surgery with a navigation system.
BACKGROUND: The current trend in anterior cruciate ligament (ACL) reconstruction has shifted to anatomical double-bundle (DB) reconstruction, which reproduces both the anteromedial bundle (AMB) and the posterolateral bundle (PLB) of the ACL. Navigation systems have also been recently introduced to orthopedic surgical procedures, including ACL reconstruction. In DB-ACL reconstruction, the femoral and tibial tunnel positions are very important, but a representation of the ACL footprint under an arthroscopic view has not been established even though navigation systems have been introduced. The purpose of this study was to evaluate the anatomical footprints of both the AMB and the PLB using the representation method for application to arthroscopic DB-ACL reconstruction using a navigation system, and to evaluate the validity of the currently determined footprint position compared with other representation methods. METHODS: Thirty-six cadaveric knees were used for an anatomical evaluation of footprints of the AMB and PLB. On the tibial side, the ACL footprints were evaluated using an original method. On the femoral side, the ACL footprints were evaluated using Watanabe's method and three other methods: (1) the quadrant method, (2) Mochizuki's method, and (3) Takahashi's method. RESULTS: The central points of the ACL footprints were represented almost constantly. The present data is in accordance with previous measurement data. CONCLUSION: This study showed that the anatomical data of the ACL femoral and tibial footprints determined with Watanabe's method at the femoral side and our original method at the tibial side were both applicable to arthroscopic surgery with a navigation system.
Authors: Sebastian Kopf; Volker Musahl; Scott Tashman; Michal Szczodry; Wei Shen; Freddie H Fu Journal: Knee Surg Sports Traumatol Arthrosc Date: 2009-01-13 Impact factor: 4.342
Authors: Jeff R S Leiter; Nevin de Korompay; Lindsey Macdonald; Sheila McRae; Warren Froese; Peter B Macdonald Journal: Knee Surg Sports Traumatol Arthrosc Date: 2011-02-03 Impact factor: 4.342
Authors: Thomas Tampere; Tom Van Hoof; Michiel Cromheecke; Hans Van der Bracht; Jorge Chahla; Peter Verdonk; Jan Victor Journal: Knee Surg Sports Traumatol Arthrosc Date: 2016-09-13 Impact factor: 4.342