Osseous Landmarks of the Femoral Attachment of the Anterior Cruciate Ligament: An Anatomic Study

Ferretti, Mário; Ekdahl, Max; Shen, Wei; Fu, Freddie H.

doi:10.1016/j.arthro.2007.09.008

Cited by 508 publications

(460 citation statements)

References 22 publications

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“…About 07 (19.44%) cases described their knee as abnormal and 02 (5.55%) cases described his knee as severely abnormal. The mean Tegner activity before injury and after operation at most recent follow up was 7.3 (5-9 range) and 6.4 (3)(4)(5)(6)(7)(8) respectively. The mean of the pre-op IKDC scoring was 42.45 with SD of 9.68 and the mean of the post-operative IKDC scoring was 81.87 with SD of 13.40.…”

Section: Resultsmentioning

confidence: 99%

Functional outcome following arthroscopic ACL reconstruction using semitendinosus graft: a prospective observational study

et al. 2017

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Background: Anterior cruciate ligament (ACL) injuries remain a common orthopaedic disease, particularly in young adults. The treatment of choice for ACL injuries is ACL reconstruction (ligamentoplasty). The present study was conducted to observe and evaluate the outcome results of arthroscopic ACL reconstruction by hamstring grafts using Endobutton-CL technique for femoral fixation and Bioabsorbable Intrafix Screw technique for tibial fixation in ACL injury.Methods: This prospective comparative observational study related data were captured between January 2014 to December 2015 in a tertiary care teaching hospital, Haldia. About 36 patients with arthroscopic anatomic ACL reconstruction using hamstring tendon graft were evaluated and followed up for functional outcome. Patients were evaluated for pain, functioning and stability of knee using validated knee scoring systems which included tegner activity scale and IKDC score.Results: Out of 36 patients 31 patients (86.11%) were male and 5 patients (13.88%) were females. About 25 patients (69.44%) had right sided ACL injury and remaining 11 patients (30.55%) had left sided ACL injury. The mean of the pre-op IKDC scoring was 42.45 with SD of 9.68 and the mean of the post-operative IKDC scoring was 81.87 with SD of 13.40, so improvement was statistically significant. Conclusions: The technique of arthroscopic ACL reconstruction offers an excellent knee function, knee stability and restoration of preoperative functional status with minimal complications.

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Section: Resultsmentioning

confidence: 99%

Functional outcome following arthroscopic ACL reconstruction using semitendinosus graft: a prospective observational study

et al. 2017

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“…12 In such cases, the center of the tunnel is set approximately at the midpoint of a line drawn parallel to the posterior margin of the lateral femoral condyle at a distance equal to the radius of the femoral tunnel plus 2.5 mm from said margin. [6][7][8] In this technique, the femoral tunnel is created via the outside-in method alone. Because this involves making an aperture on the lateral femoral cortex, a retrograde drill need not be used.…”

Section: Discussionmentioning

confidence: 99%

Anatomic Outside-In Anterior Cruciate Ligament Reconstruction Using a Suspension Device for Femoral Fixation

Espejo-Baena

Espejo-Reina

2014

Arthroscopy Techniques

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Cortical suspension is one of the most frequently used methods of femoral fixation in anterior cruciate ligament reconstruction. We present a simple technique for anterior cruciate ligament reconstruction using a suspension device for femoral fixation. The purposes of this technique are to ensure greater contact between the graft and the tunnel wallsda goal that is achieved by using the femoral fixation device with the shortest possible loopdto avoid the flip step and the need for hyperflexion, and in short, to minimize the risk of complications that can occur when using the anteromedial portal to drill the femoral tunnel. To this end, both the femoral and tibial tunnels are created in an outside-in manner and with the same guide. The graft is passed through in a craniocaudal direction, and the suspension device is fitted inside an expansion piece for a better adaptation to the femoral cortex.

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“…It is now appreciated that the native ACL femoral insertion site is located along osseous landmarks on the posterior aspect of the medial wall of the lateral femoral condyle; termed the lateral intercondylar and bifurcate ridges (Fig. 1) [13]. The lateral intercondylar ridge corresponds to the feature termed the Residents Ridge reported by Clancy [14].…”

Section: Anatomymentioning

confidence: 99%

“…Although the lateral intercondylar ridge and lateral bifurcate ridge have been described [13], they can be difficult to visualise [64].…”

Section: Anatomical Single Bundle Techniquesmentioning

confidence: 99%

Anatomical single bundle anterior cruciate ligament reconstruction

Carmont

Scheffler

Spalding

et al. 2011

Curr Rev Musculoskelet Med

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Osseous Landmarks of the Femoral Attachment of the Anterior Cruciate Ligament: An Anatomic Study

Cited by 508 publications

References 22 publications

Functional outcome following arthroscopic ACL reconstruction using semitendinosus graft: a prospective observational study

Functional outcome following arthroscopic ACL reconstruction using semitendinosus graft: a prospective observational study

Anatomic Outside-In Anterior Cruciate Ligament Reconstruction Using a Suspension Device for Femoral Fixation

Anatomical single bundle anterior cruciate ligament reconstruction

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