Paper # 20: The Incidence of Failed ACL Reconstruction by Tunnel Malposition

Bartels, Thomas; H, Bartels; Pyschik, M.; Brehme, Kay

doi:10.1016/j.arthro.2011.08.021

Cited by 2 publications

(2 citation statements)

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“…[4,20,21] This, in turn, causes graft failure and results in a poor surgical outcome. [5,6,[22][23][24][25][26][27][28] The importance of an anatomical femoral tunnel specifically has been shown in various studies. [6,[29][30][31] This has led to the popularization of transportal femoral drilling over the native, ACL footprint.…”

Section: Discussionmentioning

confidence: 99%

“…The modified quadrant method that was originally described using 3D CT is also applicable to MR images, although some difficulties may be encountered in the measurement of the femoral tunnel. [22,37,44] CT and radiographs also have the potential risk of exposure to a significant amount of radiation. It is also difficult to achieve a true lateral image of the knee on a radiograph and the femoral tunnel aperture cannot be identified precisely.…”

Section: Discussionmentioning

confidence: 99%

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J arch: A contemporary soft-tissue landmark for anatomic placement of femoral tunnel in remnant-preserving anterior cruciate ligament (ACL) reconstruction

Khetan¹,

Thakkar²,

Usman³

et al. 2022

JASSM

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Objectives: Femoral tunnel placement is a critical step in ACL reconstruction surgery. Surgeons usually end up clearing the soft tissue to access the bony landmarks. Biological ACL reconstruction with preservation of soft tissue can be done with reliable soft tissue landmarks. Our objective is to assess the reliability of a soft tissue landmark- femoral ACL remnant, for appropriate femoral tunnel placement in soft tissue preserving ACL reconstruction. Materials and Methods: This study was a retrospective analysis of prospectively collected data of 40 consecutive patients who underwent primary ACL reconstruction in January 2018 by a single surgeon. An inverse J shaped tissue arch was identified and used as soft tissue landmark for anatomic placement of femoral tunnel. This arch was a part of femoral ACL remnant. MRI films were examined post-operatively to determine the position of the femoral tunnel. Postoperatively, MRI of these patients were reviewed to evaluate the femoral tunnel position in terms of depth and height from the proximal condylar surface and notch roof, respectively. Results: The center of the femoral tunnel was found to be at a mean depth of 27.12 ± 2.2% from the proximal condylar surface (parallel to Blumensaat’s line) and a mean height of 30.96 ± 2.75% from the notch roof (perpendicular to Blumensaat’s line), which is at par with previously defined data given by various studies. Conclusion: J arch can be used as a dependable soft tissue landmark and a guide for the anatomic placement of femoral tunnel in biological ACL Reconstruction.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

J arch: A contemporary soft-tissue landmark for anatomic placement of femoral tunnel in remnant-preserving anterior cruciate ligament (ACL) reconstruction

Khetan¹,

Thakkar²,

Usman³

et al. 2022

JASSM

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The SpeedCourt system in rehabilitation after reconstruction surgery of the anterior cruciate ligament (ACL)

Bartels¹,

Proeger²,

Brehme³

et al. 2016

Arch Orthop Trauma Surg

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Interventional training programs with the SpeedCourt system seem to be advantageous in the late rehabilitation following ACL-knee surgery compared to current sensomotoric based concepts. We achieved improvements of anthropometric and functional parameters. Further studies with larger groups and longer periods of evaluation are necessary to support these data and to possibly establish a new innovative rehabilitation concept. Clinically, the demonstrated SpeedCourt system might help to determine the time "back/return to sports" for athletes more objectively and prospectively reduce the rate of ACL re-injuries.

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Paper # 20: The Incidence of Failed ACL Reconstruction by Tunnel Malposition

Cited by 2 publications

References 0 publications

J arch: A contemporary soft-tissue landmark for anatomic placement of femoral tunnel in remnant-preserving anterior cruciate ligament (ACL) reconstruction

J arch: A contemporary soft-tissue landmark for anatomic placement of femoral tunnel in remnant-preserving anterior cruciate ligament (ACL) reconstruction

The SpeedCourt system in rehabilitation after reconstruction surgery of the anterior cruciate ligament (ACL)

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