Computer-Assisted Anterior Cruciate Ligament Reconstruction: An Evidence-Based Approach of the First 15 Years

Zaffagnini, Stefano; Klos, Tiburtius V S; Bignozzi, S.

doi:10.1016/j.arthro.2009.09.018

Cited by 45 publications

(36 citation statements)

References 60 publications

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“…An imageless navigation system was introduced in the mid-1990s [57], while anatomic placement drew increased attention because of higher revision rate as much as 10% to 40% due to inaccurate tunnel placement [58]. However, navigation-assisted ACL reconstruction was not accepted even though it had inherent accuracy mainly due to the invasiveness by fixing the tracker or exposing radiation and poor cost effectiveness [59]. Meanwhile, experimental use of the navigation system has flourished as an experimental tool.…”

Section: Progression Of the Imaging Technology For The Acl Anatomymentioning

confidence: 99%

Three-Dimensional Anatomic Evaluation of the Anterior Cruciate Ligament for Planning Reconstruction

Hoshino

Kim

2012

Anatomy Research International

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Anatomic study related to the anterior cruciate ligament (ACL) reconstruction surgery has been developed in accordance with the progress of imaging technology. Advances in imaging techniques, especially the move from two-dimensional (2D) to three-dimensional (3D) image analysis, substantially contribute to anatomic understanding and its application to advanced ACL reconstruction surgery. This paper introduces previous research about image analysis of the ACL anatomy and its application to ACL reconstruction surgery. Crucial bony landmarks for the accurate placement of the ACL graft can be identified by 3D imaging technique. Additionally, 3D-CT analysis of the ACL insertion site anatomy provides better and more consistent evaluation than conventional “clock-face” reference and roentgenologic quadrant method. Since the human anatomy has a complex three-dimensional structure, further anatomic research using three-dimensional imaging analysis and its clinical application by navigation system or other technologies is warranted for the improvement of the ACL reconstruction.

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Section: Progression Of the Imaging Technology For The Acl Anatomymentioning

confidence: 99%

Three-Dimensional Anatomic Evaluation of the Anterior Cruciate Ligament for Planning Reconstruction

Hoshino

Kim

2012

Anatomy Research International

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“…CAS data have also been used to assess the effect of the different ACL bundles on knee kinematics in double-bundle reconstruction, but so far results are inconsistent [25,[53][54][55]. There is a subjective element to such tests, since it is difficult to standardize the amount of force applied, which may explain some of the variation in results [25].…”

Section: Research Applications In Knee Ligament Surgerymentioning

confidence: 99%

“…These data could also be used to assess the effect of different surgical techniques on knee stability following other ligament reconstruction, including posterior cruciate ligament [50], medial collateral ligament [51], and posterolateral corner reconstructions [52]. CAS data have also been used to assess the effect of the different ACL bundles on knee kinematics in double-bundle reconstruction, but so far results are inconsistent [25,[53][54][55]. There is a subjective element to such tests, since it is difficult to standardize the amount of force applied, which may explain some of the variation in results [25].…”

Section: Research Applications In Knee Ligament Surgerymentioning

confidence: 99%

“…Similarly, Pearle [47] found that CAS can reliably register and collect multiplanar knee kinematic data during knee stability examination. Zaffagnini has used a CAS system to investigate static and dynamic laxity parameters following double-bundle ACL reconstruction [25,48,49]. These data could also be used to assess the effect of different surgical techniques on knee stability following other ligament reconstruction, including posterior cruciate ligament [50], medial collateral ligament [51], and posterolateral corner reconstructions [52].…”

Section: Research Applications In Knee Ligament Surgerymentioning

confidence: 99%

“…ACL reconstruction is one of the most common orthopaedic procedures in North America [18], and multiple studies have demonstrated that correct tunnel placement is a key factor for a successful clinical outcome [19][20][21][22]. Considerable variation in tunnel placement has been reported with conventional techniques [23,24], and up to 80 % of complications are related to malpositioned tunnels [25]. CAS therefore has the potential to improve outcomes by reducing this variability and allowing more accurate tunnel placement.…”

Section: Anterior Cruciate Ligament Reconstructionmentioning

confidence: 99%

See 2 more Smart Citations

Applications of computer navigation in sports medicine knee surgery: an evidence-based review

Young

Safran

Clatworthy³

2013

Curr Rev Musculoskelet Med

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Computer-assisted surgery (CAS) has been investigated in a number of sports medicine procedures in the knee. Current barriers to its widespread introduction include increased costs, duration, and invasiveness of surgery. Randomized trials on the use of CAS in anterior cruciate ligament reconstruction have failed to demonstrate a clinical benefit. Data on CAS use in high tibial osteotomy are more promising; however, long-term studies are lacking. CAS has a number of research applications in knee ligament surgery, and studies continue to explore its use in the treatment of osteochondral lesions. This article reviews the applications of CAS in sports medicine knee surgery and summarizes current literature on clinical outcomes.

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Computer assisted surgery for knee ligament reconstruction

Meuffels

Reijman

Scholten

et al. 2011

Cochrane Database of Systematic Reviews

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Computer-Assisted Anterior Cruciate Ligament Reconstruction: An Evidence-Based Approach of the First 15 Years

Cited by 45 publications

References 60 publications

Three-Dimensional Anatomic Evaluation of the Anterior Cruciate Ligament for Planning Reconstruction

Three-Dimensional Anatomic Evaluation of the Anterior Cruciate Ligament for Planning Reconstruction

Applications of computer navigation in sports medicine knee surgery: an evidence-based review

Computer assisted surgery for knee ligament reconstruction

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