Intercondylar notch dimensions and graft failure after single- and double-bundle anterior cruciate ligament reconstruction

Wolf, Megan; Murawski, Christopher D.; Diek, Floor M. van; Eck, Carola F. van; Huang, Yihe; Fu, Freddie H.

doi:10.1007/s00167-014-3414-6

Cited by 40 publications

(41 citation statements)

References 45 publications

(71 reference statements)

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“…7,55 Geometric characteristics of the knee associated with ACL graft injury have been the subject of far less study. Wolf et al 57 measured the outlet of the femoral intercondylar notch intraoperatively using a handheld caliper and found that the femoral outlet width was not associated with risk of ACL graft failure. However, magnetic resonance imaging (MRI)-based measurements of the geometry of the femoral intercondylar notch have been shown to be associated with increased risk of suffering a firsttime ACL injury.…”

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confidence: 99%

Geometric Risk Factors Associated With Noncontact Anterior Cruciate Ligament Graft Rupture

et al. 2016

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The geometric risk factors for ACL graft rupture are different for males and females. For females, a decreased femoral intercondylar notch width and a decreased height of the posterior medial meniscus were risk factors for ACL graft rupture that have also been found to be risk factors for first-time injury. There were no risk factors in common between ACL graft injury and first-time ACL injury for males.

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confidence: 99%

Geometric Risk Factors Associated With Noncontact Anterior Cruciate Ligament Graft Rupture

et al. 2016

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“…Wolf, in a study published in KSSTA in 2015, shows that a lower intercondylar notch dimension does not provide higher risk for graft failure after anatomical ACL restoration. 44 Based on these results, the use of notchplasty is not recommended. The meta-analysis published by Desai et al in 2014 found that anatomical double-bundle is better compared to single-bundle in terms of re-establishment of knee kinetics and primary anteroposterior laxity.…”

Section: Resultsmentioning

confidence: 99%

Single- or Double-Bundle Technique in the Anterior Cruciate Ligament Reconstruction — Current Concepts and Review of the Literature

Fleacă

Prejbeanu

Feier

et al. 2016

Journal of Interdisciplinary Medicine

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The treatment for anterior cruciate ligament (ACL) deficient knee consists in its surgical reconstruction. There are several available and validated techniques, but there are still numerous questions to be answered concerning the best approach in terms of stability, functional outcome, and avoiding further damage in the knee. This paper sought to analyze the studies published in the literature comparing the outcomes of ACL restoration with single-bundle versus double-bundle techniques. The results demonstrate that even if biomechanical studies find an increased steadiness with double-bundle ACL reconstruction, there seems to be no clinical or functional benefit compared with single-bundle reconstruction.

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“…In anatomical single-bundle ACL reconstruction, the femoral and tibial tunnels are created within the ACL footprint. 14,20,23,[26][27][28][29][30][31]36 Some authors have reported that the tunnels in anatomical single-bundle ACL reconstruction should be placed at the center of the ACL footprint to reproduce both AM and posterolateral bundle function, 14,27,28,30 whereas others have suggested that the tunnels be made to reproduce only the AM bundle function and should be placed close to the AM bundle native footprint. 23,26,29,31 In this study, tunnels were placed to best reproduce AM bundle morphology.…”

Section: Discussionmentioning

confidence: 99%

Tibial Spine Location Influences Tibial Tunnel Placement in Anatomical Single-Bundle Anterior Cruciate Ligament Reconstruction

Iriuchishima

Goto

2020

J Knee Surg

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AbstractThe purpose of this study was to assess the influence of tibial spine location on tibial tunnel placement in anatomical single-bundle anterior cruciate ligament (ACL) reconstruction using three-dimensional computed tomography (3D-CT). A total of 39 patients undergoing anatomical single-bundle ACL reconstruction were included in this study (30 females and 9 males; average age: 29 ± 15.2 years). In anatomical single-bundle ACL reconstruction, the tibial and femoral tunnels were created close to the anteromedial bundle insertion site using a transportal technique. Using postoperative 3D-CT, accurate axial views of the tibia plateau were evaluated. By assuming the medial and anterior borders of the tibia plateau as 0% and the lateral and posterior borders as 100%, the location of the medial and lateral tibial spine, and the center of the tibial tunnel were calculated. Statistical analysis was performed to assess the correlation between tibial spine location and tibial tunnel placement. The medial tibial spine was located at 54.7 ± 4.5% from the anterior border and 41.3 ± 3% from the medial border. The lateral tibial spine was located at 58.7 ± 5.1% from the anterior border and 55.3 ± 2.8% from the medial border. The ACL tibial tunnel was located at 34.8 ± 7.7% from the anterior border and 48.2 ± 3.4% from the medial border. Mediolateral tunnel placement was significantly correlated with medial and lateral tibial spine location. However, for anteroposterior tunnel placement, no significant correlation was found. A significant correlation was observed between mediolateral ACL tibial tunnel placement and medial and lateral tibial spine location. For clinical relevance, tibial ACL tunnel placement might be unintentionally influenced by tibial spine location. Confirmation of the ACL footprint is required to create accurate anatomical tunnels during surgery. This is a Level III; case–control study.

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Intercondylar notch dimensions and graft failure after single- and double-bundle anterior cruciate ligament reconstruction

Cited by 40 publications

References 45 publications

Geometric Risk Factors Associated With Noncontact Anterior Cruciate Ligament Graft Rupture

Geometric Risk Factors Associated With Noncontact Anterior Cruciate Ligament Graft Rupture

Single- or Double-Bundle Technique in the Anterior Cruciate Ligament Reconstruction — Current Concepts and Review of the Literature

Tibial Spine Location Influences Tibial Tunnel Placement in Anatomical Single-Bundle Anterior Cruciate Ligament Reconstruction

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