The Sagittal Plane Angle and Tunnel-Related Complications in Double-Bundle Anterior Cruciate Ligament Reconstruction Using the Transportal Technique: An In Vivo Imaging Study

Park, Sin Hyung; Moon, Sang Won; Lee, Byung‐Hoon; Chae, Sang Hoon; Ahn, Jin Hwan; Chang, Moon Jong; Wang, Joon Ho

doi:10.1016/j.arthro.2014.08.018

Cited by 7 publications

(1 citation statement)

References 35 publications

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“…As variables potentially affecting the GBA, bone tunnel length, angle to the PCA, angle to the distal condylar line, and angle of divergence of the AMB and PLB tunnels were determined. The 3D surface model was projected into the coronal and axial planes to measure the angle to the PCA and angle to the distal condylar line [18]. Two orthopaedic surgeons who were blinded to the tunnel drilling method measured GBA, bone tunnel length, angle to PCA, angle to distal condylar line, and angle of tunnel divergence on two separate occasions with an interval of 1 week.…”

Section: Measurement Of Gbamentioning

confidence: 99%

Effects of femoral bone tunnel characteristics on graft-bending angle in double-bundle anterior cruciate ligament reconstruction: a comparison of the outside-in and transportal techniques

Niki

Nagai

Harato

et al. 2015

Knee Surg Sports Traumatol Arthrosc

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Section: Measurement Of Gbamentioning

confidence: 99%

Effects of femoral bone tunnel characteristics on graft-bending angle in double-bundle anterior cruciate ligament reconstruction: a comparison of the outside-in and transportal techniques

Niki

Nagai

Harato

et al. 2015

Knee Surg Sports Traumatol Arthrosc

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The 45° and 60° of sagittal femoral tunnel placement in anterior cruciate ligament reconstruction provide similar knee stability

Cheng,

Yao,

Dimitriou

et al. 2024

Knee surg. sports traumatol. arthrosc.

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PurposeThe aim of the present study was to compare 45° and 60° of sagittal femoral tunnel angles in terms of anterior tibial translation (ATT), valgus angle and graft in situ force following anterior cruciate ligament reconstruction (ACLR).MethodsTen porcine knees were subjected to the following loading conditions: (1) 89 N anterior tibial load at 35° (full extension), 60° and 90° of knee flexion and (2) 5 N m valgus tibial moment at 35° and 45° of knee flexion. ATT and graft in situ force of the intact anterior cruciate ligament (ACL) and ACLR were collected using a robotic universal force/moment sensor (UFS) testing system for (1) ACL intact, (2) ACL‐deficient (ACLD) and (3) two different ACLR using different sagittal femoral tunnel angles (coronal 45°/sagittal 45° and coronal 45°/sagittal 60°).ResultsDuring the anterior tibial load, the femoral tunnel angle of ACLR knees at coronal 45°/sagittal 45° and 60° had significantly higher ATT than that of the ACL‐intact knees at 60° of knee flexion (p < 0.05). The femoral tunnel angle of ACLR knees at coronal 45°/sagittal 60° had significantly lower graft in situ force than that of the ACL‐intact knees at 60° and 90° of knee flexion (p < 0.05). During the valgus tibial moment, the femoral tunnel angle of ACLR knees at coronal 45°/sagittal 45° and 60° had significantly lower graft in situ force than that of the ACL‐intact knees at all knee flexions (p < 0.05).ConclusionsThe femoral tunnel angle of ACLR knees at coronal 45°/sagittal 45° provided similar ATT, valgus angle and graft in situ force to that of ACLR knees at coronal 45°/sagittal 60°. Therefore, both femoral tunnel angles could be used in ACLR, as the sagittal femoral tunnel angle does not appear to be relevant in post‐operative knee stability.Level of EvidenceNot applicable.

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Surgical Techniques of ACL Reconstruction, A. AM Portal Technique

Ryu

Wang

2021

Knee Arthroscopy

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The Sagittal Plane Angle and Tunnel-Related Complications in Double-Bundle Anterior Cruciate Ligament Reconstruction Using the Transportal Technique: An In Vivo Imaging Study

Cited by 7 publications

References 35 publications

Effects of femoral bone tunnel characteristics on graft-bending angle in double-bundle anterior cruciate ligament reconstruction: a comparison of the outside-in and transportal techniques

Effects of femoral bone tunnel characteristics on graft-bending angle in double-bundle anterior cruciate ligament reconstruction: a comparison of the outside-in and transportal techniques

The 45° and 60° of sagittal femoral tunnel placement in anterior cruciate ligament reconstruction provide similar knee stability

Surgical Techniques of ACL Reconstruction, A. AM Portal Technique

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