Makoto Suruga1,2, Takashi Horaguchi3, Takanori Iriuchishima4, Genki Iwama5, Yoshiyuki Yahagi3, Yasuaki Tokuhashi6, Shin Aizawa7. 1. Department of Orthopaedic Surgery, Nihon University School of Medicine, 30-1 Oyaguchi Kami-cho, Itabashi-ku, Tokyo, 173-0032, Japan. makoto.suruga.63@gmail.com. 2. Department of Orthopaedic Surgery, Nihon University Hospital, Tokyo, Japan. makoto.suruga.63@gmail.com. 3. Department of Orthopaedic Surgery, Nihon University Hospital, Tokyo, Japan. 4. Department of Orthopaedic Surgery, Kamimoku Hot Springs Hospital, Minakami, Japan. 5. Department of Orthopaedic Surgery, Kawaguchi Municipal Medical Center, Kawaguchi, Japan. 6. Department of Orthopaedic Surgery, Nihon University School of Medicine, 30-1 Oyaguchi Kami-cho, Itabashi-ku, Tokyo, 173-0032, Japan. 7. Department of Functional Morphology, Nihon University School of Medicine, Tokyo, Japan.
Abstract
BACKGROUNDS: "Anatomical" anterior cruciate ligament (ACL) reconstruction is defined as the functional restoration of the ACL to its native dimensions. It is essential to obtain more accurate predictors of ACL size before surgery. The purpose of this study was to investigate the correlation between the native femoral ACL footprint size and the morphology of the distal femur using three-dimensional CT (3D-CT). METHODS: Thirty non-paired Japanese human cadaver knees were used. All soft tissues around the knee were resected except the ACL. For the evaluation of femoral condyle morphology, trans-epicondylar length (TEL), notch outlet length, axial notch area, and notch width index were measured using 3D-CT. The ACL was cut in the middle, and the femoral bone was cut at the most proximal point of the femoral notch. The ACL was carefully dissected, and the boundaries of the ACL insertion site were outlined on the femoral side. An accurate lateral view of the femoral condyle was photographed with a digital camera. The size of the femoral ACL footprint, length of Blumensaat's line, and the height and area of the lateral wall of the femoral intercondylar notch were measured with ImageJ software. RESULTS: Notch height, lateral notch area, and TEL were significantly correlated with the femoral ACL footprint area. Both axial notch area and notch outlet length were significantly correlated with the femoral mid-substance insertion area. CONCLUSION: Morphological evaluation using 3D-CT preoperatively may be useful in predicting the femoral ACL footprint size.
BACKGROUNDS: "Anatomical" anterior cruciate ligament (ACL) reconstruction is defined as the functional restoration of the ACL to its native dimensions. It is essential to obtain more accurate predictors of ACL size before surgery. The purpose of this study was to investigate the correlation between the native femoral ACL footprint size and the morphology of the distal femur using three-dimensional CT (3D-CT). METHODS: Thirty non-paired Japanese human cadaver knees were used. All soft tissues around the knee were resected except the ACL. For the evaluation of femoral condyle morphology, trans-epicondylar length (TEL), notch outlet length, axial notch area, and notch width index were measured using 3D-CT. The ACL was cut in the middle, and the femoral bone was cut at the most proximal point of the femoral notch. The ACL was carefully dissected, and the boundaries of the ACL insertion site were outlined on the femoral side. An accurate lateral view of the femoral condyle was photographed with a digital camera. The size of the femoral ACL footprint, length of Blumensaat's line, and the height and area of the lateral wall of the femoral intercondylar notch were measured with ImageJ software. RESULTS: Notch height, lateral notch area, and TEL were significantly correlated with the femoral ACL footprint area. Both axial notch area and notch outlet length were significantly correlated with the femoral mid-substance insertion area. CONCLUSION: Morphological evaluation using 3D-CT preoperatively may be useful in predicting the femoral ACL footprint size.
Authors: John C Loh; Yukihisa Fukuda; Eiichi Tsuda; Richard J Steadman; Freddie H Fu; Savio L Y Woo Journal: Arthroscopy Date: 2003-03 Impact factor: 4.772
Authors: Masayoshi Yagi; Eric K Wong; Akihiro Kanamori; Richard E Debski; Freddie H Fu; Savio L-Y Woo Journal: Am J Sports Med Date: 2002 Sep-Oct Impact factor: 6.202