Anatomical analysis of the anterior cruciate ligament femoral and tibial footprints |
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Authors: | Harehiko Tsukada Yasuyuki Ishibashi Eiichi Tsuda Akira Fukuda Satoshi Toh |
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Institution: | (1) Department of Orthopaedic Surgery, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki, Aomori 036-8562, Japan |
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Abstract: | 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. |
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