Clinical outcome of anatomic double-bundle ACL reconstruction and 3D CT model-based validation of femoral socket aperture position

Abstract

Case series, Level IV.

A prospective study to evaluate the clinico-radiological outcomes of arthroscopic single bundle versus double bundle anterior cruciate ligament reconstruction

“…7,8 Recently, many anatomical studies have evaluated the femoral and tibial insertion sites of the ACL bundle to determine correct tunnel placement when performing ACL reconstruction with the single or double-bundle technique. [9][10][11] Postoperative MRI scanning is a useful imaging tool to detail the graft orientation and inclination angles apart from its footprint size and tunnel location. However, there have been very few recently published studies that compare the graft morphology between reconstructed SB and DB ACLR using postoperative MRI scans.…”

Tibial ACL insertion site length: correlation between preoperative MRI and intra-operative measurements

“…As per previous studies, ACL reconstructions led to better clinical [2,10,16,24,28,38,40] and knee stability outcomes [1,5,7,19,20], but preoperative information on ACL anatomy is an essential prerequisite in determining optimal graft choice and restoring native ACL anatomy.…”

Bone-Patellar Tendon-Bone Autograft versus Hamstring Tendon Autograft for Anatomical Anterior Cruciate Ligament Reconstruction with Three-Dimensional Validation of Femoral and Tibial Tunnel Positions

“…[15][16][17] As a consequence, anatomical double-bundle (DB) ACLR using HT grafts is becoming an increasingly popular technique. [18][19][20][21] Anatomical ACLR can also be performed even with BPTB, using the newly developed rectangular tunneling technique. 22 More recently, three-dimensional computed tomography (3D CT), which provides good visualization of bony structures with high accuracy, has been used clinically to validate tunnel placement and to confirm whether the created tunnels are placed in an appropriate anatomical position.…”

“…22 More recently, three-dimensional computed tomography (3D CT), which provides good visualization of bony structures with high accuracy, has been used clinically to validate tunnel placement and to confirm whether the created tunnels are placed in an appropriate anatomical position. 21,23 Measurement of ACL tunnel location using 3D CT has been shown to be reliable. 24 However, most of the previous studies which have compared BPTB and HT grafts lack morphometric analysis of anatomic tunnel locations after the operation.…”