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Quantitative topographic anatomy of the anterior cruciate ligament femoral footprint - do the ridges exist?
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Norman, D. G., Thornby, J. A., Bird, J., Getgood, A., Thompson, P., Williams, M. A. and Spaldig, T. (2012) Quantitative topographic anatomy of the anterior cruciate ligament femoral footprint - do the ridges exist? Knee Surgery, Sports Traumatology, Arthroscopy, 20 (1). p. 88. doi:10.1007/s00167-012-1931-8 ISSN 0942-2056.
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Official URL: http://dx.doi.org/10.1007/s00167-012-1931-8
Abstract
Objectives: Anatomic ACL reconstruction has become an accepted technique to restore functional stability to the knee. Bony landmarks have been described which aid placement of the graft in mid bundle or specific anteromedial/posterolateral bundle positions. The objective of this study was to produce objective quantitative validation of the lateral intercondylar ridge and bifurcate ridge using micro CT technology, so a to better understand these important anatomical landmarks.
Methods: Cadaveric human knees were imaged using a XT 320 H LC subjects (mean length 9.3 mm; mean height 1.5 mm) with the bifurcate ridge present in 14% (mean length 4.3 mm, height 0.9 mm). A relief map of the ACL footprint was produced which showed the individual variability of the anatomical ridges.
Conclusions: This study demonstrates that the bony anatomical landmarks of the ACL footprint are a variable entity in individuals. When present, they can be used as a guide for femoral tunnel placement in ACL reconstruction. However, if absent, other techniques need to be adopted such as the ‘ruler technique’ or intraoperative fluoroscopy, so as to be able to reproducibly replicate anatomic tunnel positioning.
Item Type: | Journal Article | ||||
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Divisions: | Faculty of Social Sciences > Institute of Education ( -2013) Faculty of Science, Engineering and Medicine > Engineering > WMG (Formerly the Warwick Manufacturing Group) |
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Journal or Publication Title: | Knee Surgery, Sports Traumatology, Arthroscopy | ||||
Publisher: | Springer | ||||
ISSN: | 0942-2056 | ||||
Official Date: | May 2012 | ||||
Dates: |
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Volume: | 20 | ||||
Number: | 1 | ||||
Page Range: | p. 88 | ||||
DOI: | 10.1007/s00167-012-1931-8 | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Restricted or Subscription Access |
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