The Location of Femoral and Tibial Tunnels in Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction Analyzed by Three-Dimensional Computed Tomography Models

Forsythe, Brian; Kopf, Sebastian; Wong, Andrew K.; Martins, Cesar A. Q.; Anderst, William; Tashman, Scott; Fu, Freddie H.

doi:10.2106/jbjs.i.00654

Cited by 304 publications

(367 citation statements)

References 22 publications

Supporting

Mentioning

334

Contrasting

Unclassified

Order By: Relevance

“…Recently, there has been a growing interest in 3D-CT as a research tool for the study of bone and joint anatomy and kinematics [1][2][3][4][5]. The resolution of CT is half the voxel size of CT scan [6,7].…”

Section: Introductionmentioning

confidence: 99%

Accuracy and Reliability of Length Measurements on Three-Dimensional Computed Tomography Using Open-Source OsiriX Software

et al. 2012

View full text Add to dashboard Cite

There is a growing interest in three-dimensional computed tomography (3D-CT) as a research tool for the study of bone, joint anatomy, and kinematics. However, when CT data are processed and handled manually using image processing programs to yield 3D image and coordinate value, systematic and random errors should be validated. We evaluated the accuracy and reliability of length measurement on CT with OsiriX software. 3D-CT scans were made of 14 frozen pig knees with five transosseous holes in the metaphyseal portion of femur. The lengths between tunnel orifices were measured using Mitutoyo Digimatic digital calipers to establish the gold standard, and with the OsiriX program in 3D multi-planar reformatting mode for comparison. All measurements were recorded by a principal (replicate 1, trial 1) and a secondary observer (replicate 2, trial 1) and were repeated once by each observer (trial 2). The mean differences between OsiriX and real measurements were less than 0.1 mm in both replicates, and maximum differences were less than 0.3 mm. There were no significant differences between the replicates and real measurements (p00.544 and 0.622 for replicates 1 and 2, respectively). The intraclass correlation coefficients (ICC) were very high between trials and between replicates (ICC0 0.998 and 0.999, respectively). For kinematic analysis of the knees, length measurements on 3D-CT using OsiriX program can be used as alternatives to real measurements with less than 0.3-mm accuracy and very high reliability.

show abstract

Section: Introductionmentioning

confidence: 99%

Accuracy and Reliability of Length Measurements on Three-Dimensional Computed Tomography Using Open-Source OsiriX Software

et al. 2012

View full text Add to dashboard Cite

show abstract

“…[1][2][3] Less attention has been paid to the placement of the tibial tunnel during posterior cruciate ligament (PCL) reconstruction than to the femoral tunnel. 4 Furthermore, for the tibial tunnel in the PCL, the focus has been to prevent the killerturn effect and neurovascular injury.…”

mentioning

confidence: 99%

Posterior Cruciate Ligament Tibial Insertion Anatomy and Implications for Tibial Tunnel Placement

Lee

Jong²,

Ahn

et al. 2011

Arthroscopy: The Journal of Arthroscopic & Related Surgery

View full text Add to dashboard Cite

“…Characterization of the insertion site anatomy in anterior cruciate ligament reconstruction has recently received increased attention in the literature, coinciding with a growing interest in anatomic reconstruction (7). For achieving the most anatomic position for the graft requires the femoral and tibial tunnels to be drilled independently.…”

Section: Discussionmentioning

confidence: 99%

CT Based Analysis of Arthroscopic Femoral Tunnel Placement in Single Bundle Primary ACL Reconstruction Using Medial Portal Technique

Ghaffar¹,

Agrawal²,

Maheshwari³

et al. 2017

IOSR JDMS

View full text Add to dashboard Cite

The Location of Femoral and Tibial Tunnels in Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction Analyzed by Three-Dimensional Computed Tomography Models

Abstract: This cadaver study provides reference data against which tunnel position in anterior cruciate ligament reconstruction can be compared in future clinical trials.

Cited by 304 publications

References 22 publications

Accuracy and Reliability of Length Measurements on Three-Dimensional Computed Tomography Using Open-Source OsiriX Software

Accuracy and Reliability of Length Measurements on Three-Dimensional Computed Tomography Using Open-Source OsiriX Software

Posterior Cruciate Ligament Tibial Insertion Anatomy and Implications for Tibial Tunnel Placement

CT Based Analysis of Arthroscopic Femoral Tunnel Placement in Single Bundle Primary ACL Reconstruction Using Medial Portal Technique

Contact Info

Product

Resources

About