Intraoperative 3-Dimensional Imaging–Based Navigation-Assisted Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction

Nakagawa, Takumi; Takeda, Hideki; Nakajima, Kohei; Nakayama, Shinichi; Fukai, Atsushi; Kachi, Yoshinori; Kawano, Hirotaka; Miura, Toshiki; Nakamura, Kozo

doi:10.1016/j.arthro.2008.06.011

Cited by 47 publications

(27 citation statements)

References 14 publications

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“…Recently, some previous reports demonstrated the usefulness of navigationassisted anatomical double-bundle ACL reconstruction [27,36,37]. In our study, we could place the bone tunnels as planned using this navigation system as illustrated in postoperative 3D-CT scanning.…”

Section: Discussionmentioning

confidence: 93%

The accuracy of bone tunnel position using fluoroscopic-based navigation system in anterior cruciate ligament reconstruction

Kawakami

Hiranaka

Matsumoto

et al. 2011

Knee Surg Sports Traumatol Arthrosc

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Section: Discussionmentioning

confidence: 93%

The accuracy of bone tunnel position using fluoroscopic-based navigation system in anterior cruciate ligament reconstruction

Kawakami

Hiranaka

Matsumoto

et al. 2011

Knee Surg Sports Traumatol Arthrosc

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“…Computer-assisted ACL reconstruction has been used to evaluate tunnel positioning (Nakagawa et al 2008;Voos et al 2010). Its use in evaluating knee kinematics and laxity is also valuable.…”

Section: Computer-assisted Surgery and Kinematicsmentioning

confidence: 99%

Partial Anterior Cruciate Ligament Ruptures: Knee Laxity Measurements and Pivot Shift

et al. 2015

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“…To get the position right, people have used navigation. [12][13][14] The navigation technique is good, but the equipment is costly and has a potential risk of damage to bone and stress riser due to pin insertion. The other method of getting the tunnel position right is by scrutinizing the cases already performed with a computed tomography scan and evaluating the tunnel position.…”

Section: Discussionmentioning

confidence: 99%

Accurate Positioning of Femoral and Tibial Tunnels in Single Bundle Anterior Cruciate Ligament Reconstruction Using the Indigenously Made Bernard and Hurtle Grid on a Transparency Sheet and C-arm

Kumar

2017

Arthroscopy Techniques

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Many factors determine the outcome of the anterior cruciate ligament reconstruction surgery. The single most important factor, also well within the control of a surgeon, is tunnel placement. It is difficult to accurately determine the center of the anterior cruciate ligament foot print, and many a times it is also difficult to accurately define the intercondylar and bifurcate ridge. This makes determination of the accurate entry point of the guidewire difficult. We have printed our indigenously formed grid (equidistant boxes) on an old-fashioned transparency sheet. We use a fluoroscopy (C-arm) shot intraoperatively in the lateral position and superimpose this sheet to determine the position of the guidewire by calculating the percentage of boxes. We aim at 27.7% in proximal to distal and 37.5% in anterior to posterior on the femur side and 45% in front to back and medial to lateral on the tibial side. C-arm is freely available, but the inbuilt grid facility may be available in only the higher version of C-arms. Our indigenously designed grid can be easily used across the globe with ease to achieve accuracy in tunnel placement without violating anatomy and without any extra cost.

show abstract

Intraoperative 3-Dimensional Imaging–Based Navigation-Assisted Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction

Cited by 47 publications

References 14 publications

The accuracy of bone tunnel position using fluoroscopic-based navigation system in anterior cruciate ligament reconstruction

The accuracy of bone tunnel position using fluoroscopic-based navigation system in anterior cruciate ligament reconstruction

Partial Anterior Cruciate Ligament Ruptures: Knee Laxity Measurements and Pivot Shift

Accurate Positioning of Femoral and Tibial Tunnels in Single Bundle Anterior Cruciate Ligament Reconstruction Using the Indigenously Made Bernard and Hurtle Grid on a Transparency Sheet and C-arm

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