The correlation between the femoral anterior cruciate ligament footprint area and the morphology of the distal femur: three-dimensional CT evaluation in cadaveric knees
| Autor: | Genki Iwama, Takanori Iriuchishima, Yasuaki Tokuhashi, Makoto Suruga, Yoshiyuki Yahagi, Shin Aizawa, Takashi Horaguchi |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Anterior cruciate ligament Footprint 03 medical and health sciences Distal femur 0302 clinical medicine Imaging Three-Dimensional Asian People medicine Cadaver Humans Orthopedics and Sports Medicine Femur Anterior Cruciate Ligament Aged Aged 80 and over 030222 orthopedics business.industry Soft tissue 030229 sport sciences Anatomy Middle Aged musculoskeletal system Proximal point surgical procedures operative medicine.anatomical_structure Surgery Female business Lateral wall Cadaveric spasm Tomography X-Ray Computed human activities Three dimensional ct |
| Zdroj: | European journal of orthopaedic surgerytraumatology : orthopedie traumatologie. 29(4) |
| ISSN: | 1432-1068 |
| Popis: | “Anatomical” anterior cruciate ligament (ACL) reconstruction is defined as the functional restoration of the ACL to its native dimensions. It is essential to obtain more accurate predictors of ACL size before surgery. The purpose of this study was to investigate the correlation between the native femoral ACL footprint size and the morphology of the distal femur using three-dimensional CT (3D-CT). Thirty non-paired Japanese human cadaver knees were used. All soft tissues around the knee were resected except the ACL. For the evaluation of femoral condyle morphology, trans-epicondylar length (TEL), notch outlet length, axial notch area, and notch width index were measured using 3D-CT. The ACL was cut in the middle, and the femoral bone was cut at the most proximal point of the femoral notch. The ACL was carefully dissected, and the boundaries of the ACL insertion site were outlined on the femoral side. An accurate lateral view of the femoral condyle was photographed with a digital camera. The size of the femoral ACL footprint, length of Blumensaat’s line, and the height and area of the lateral wall of the femoral intercondylar notch were measured with ImageJ software. Notch height, lateral notch area, and TEL were significantly correlated with the femoral ACL footprint area. Both axial notch area and notch outlet length were significantly correlated with the femoral mid-substance insertion area. Morphological evaluation using 3D-CT preoperatively may be useful in predicting the femoral ACL footprint size. |
| Databáze: | OpenAIRE |
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