Anterior cruciate ligament reconstruction

Romano, Victor; Graf, Ben K.; Keene, James S.; Lange, Richard H.

doi:10.1177/036354659302100315

Cited by 117 publications

(36 citation statements)

References 18 publications

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“…Diagnosis criteria were, at 4 months, a reduction of the knee extension superior to 10° and a reduction of the knee flexion superior to 25°, and no knee instability. This association of clinical signs present at 4 months enabled us to exclude surgical failures that might have induced a loss of knee flexion or extension, but not both at the same time (incorrect position of the bone tunnels or excess of graft tension) (Gillespie et al, 1998; Magit et al, 2007; Markolf et al, 2002; Romano, Graf, Keene, & Lange, 1993).…”

Section: Methodsmentioning

confidence: 99%

Arthrogenic muscle inhibition and return to sport after arthrofibrosis complicating anterior cruciate ligament surgery

Dauty

Mesland

2021

European Journal of Sport Science

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HAL is a multi-disciplinary open access archive for the deposit and dissemination of scientific research documents, whether they are published or not. The documents may come from teaching and research institutions in France or abroad, or from public or private research centers. L'archive ouverte pluridisciplinaire HAL, est destinée au dépôt et à la diffusion de documents scientifiques de niveau recherche, publiés ou non, émanant des établissements d'enseignement et de recherche français ou étrangers, des laboratoires publics ou privés.

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Section: Methodsmentioning

confidence: 99%

Arthrogenic muscle inhibition and return to sport after arthrofibrosis complicating anterior cruciate ligament surgery

Dauty

Mesland

2021

European Journal of Sport Science

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“…Additionally, a posteriorly placed tibial tunnel will result in a vertically placed ACL graft that may lack rotational stability [4, 5, 8, 14]. Recommendations for intraoperative tibial tunnel placement have been to place the tibial tunnel posterior to junction of the anterior and middle thirds of the depth of the midsagittal diameter of the tibia [10, 12, 15, 18].…”

Section: Introductionmentioning

confidence: 99%

MRI analysis of tibial position of the anterior cruciate ligament

Frank

Seroyer

Lewis

et al. 2010

Knee Surg Sports Traumatol Arthrosc

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This study aimed to establish normal values for the position of the native anterior cruciate ligament (ACL) insertion on the tibia to assist in the evaluation of tunnel placement after primary ACL reconstruction or prior to revision surgery. One hundred consecutive MRI studies performed on patients with a mean age of 29 years (range 20-35) from a single MRI facility were reviewed. Patients with prior surgery, significant osteoarthritis, acute ACL injury, or evidence of ACL reconstruction were excluded. Using digital image software, measurements were taken of anterior-most and posterior-most portions of the ACL insertion on the tibia. Depth of the tibia was also measured from the anterior edge of the tibial plateau to the posterior edge at the origin of the posterior cruciate ligament. The anterior insertion of the native ACL was located at a mean of 14 ± 3 mm (28 ± 5%) from the anterior tibial articular margin; the posterior portion of the ACL was located at a mean of 31 ± 4 mm (63 ± 6%). The tibial insertion of the ACL is located between 28 and 63% of the total anterior-posterior depth of the tibia. The results from this study are clinically relevant as they provide the clinician with baseline data to describe the position of the tibial footprint of the native ACL on sagittal MR imaging. Further, this data can be used as a guide to evaluate tibial tunnel position prior to primary ACL reconstruction, revision ACL surgery, or in ACL-reconstructed patients who continue to experience pain, instability, or dysfunction postoperatively.

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“…The tibial tunnel placement was assessed according to Staubli [18] and Romano [16]. The maximal sagittal diameter of the medial tibial plateau proximal to the tibial tuberosity and the centre of the tibial tunnel was identified.…”

Section: Methodsmentioning

confidence: 99%

Tunnel positioning in anterior cruciate ligament reconstruction: how long is the learning curve?

Hohmann

Bryant

Tetsworth

2010

Knee Surg Sports Traumatol Arthrosc

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The purpose of this study is to investigate the effect of the learning curve on radiographic tunnel position. A consecutive series of the first 200 procedures of an orthopaedic surgeon over his initial 4years of independent practice were analysed for tunnel placement, based on radiographic appearance. An arthroscopic-assisted technique using patella tendon as graft material was performed in all cases. To establish femoral tunnels, a transtibial guide pin was used. The graft was secured with bioabsorbable screws. A Frik tunnel view and a strictly lateral radiograph were used to assess tunnel placements. Tunnel positioning was assessed using a computer-aided design, 2D software (Auto CAD2000(®)). To minimize measurement bias, radiographs were assessed three times or until deviations in all three measurements were less than 10%, and the three measurements were then averaged. Sagittal femoral tunnel placement improved significantly (P = 0.01) after the first 100 cases. Significant improvement (P = 0.05) in coronal femoral tunnel placement was observed after the first 75 cases. Significant improvement (P = 0.01) in sagittal tibial tunnel position was observed after the first 100 cases. Mean coronal tibial tunnel did not improve. Critical analysis in this consecutive series suggests that a caseload of approximately 100 procedures were necessary for this surgeon to refine his surgical technique beyond that acquired during formal training.

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Anterior cruciate ligament reconstruction

Cited by 117 publications

References 18 publications

Arthrogenic muscle inhibition and return to sport after arthrofibrosis complicating anterior cruciate ligament surgery

Arthrogenic muscle inhibition and return to sport after arthrofibrosis complicating anterior cruciate ligament surgery

MRI analysis of tibial position of the anterior cruciate ligament

Tunnel positioning in anterior cruciate ligament reconstruction: how long is the learning curve?

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