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Computer-Assisted Evaluation of Double-Bundle ACL Reconstruction

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Medical Imaging and Augmented Reality (MIAR 2004)

Part of the book series: Lecture Notes in Computer Science ((LNCS,volume 3150))

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Abstract

This paper reports a new study for comparing two double-bundle reconstructions of anterior cruciate ligament (ACL), used by one of the authors in surgery. It describes the experimental setup, protocol and results in a sample case. The experiment was performed in five steps, using FlashPoint optical system: first the intact knee kinematics was analysed; then ACL was resected and the knee examined; ACL was reconstructed using the gracilis semitendinous tendon and the new kinematics recorded; ACL was reconstructed again with the same tendon and a different orientation of the femoral tunnel and kinematics was recorded; finally the knee was dissected to digitize bone surfaces, ligaments insertions and tunnel position. The off-line elaboration of data allowed to evaluate anatomical and functional results. The comparison of reconstructed knee laxities and ranges of motion with normal and ACL-deficient knee suggested that the most vertical tunnel performed better than the horizontal one.

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References

  1. Martelli, S.: New Method for simultaneous anatomical and functional studies of articular joints and its application to the human knee. Comp Methods & Programs in Biomed 70, 223–240 (2003)

    Article  Google Scholar 

  2. Zaffagnini, S., Martelli, S., Acquaroli, F.: Computer investigation of ACL orientation during passive range of motion. Computers in Biology and Med 34, 2 (2004) (to appear)

    Google Scholar 

  3. Martelli, S., Bignozzi, S., Bontempi, M., Zaffagnini, S., Garcia, L.: Comparison of an optical and a mechanical navigation system. In: Ellis, R.E., Peters, T.M. (eds.) MICCAI 2003. LNCS, vol. 2879, pp. 303–310. Springer, Heidelberg (2003)

    Chapter  Google Scholar 

  4. Martelli, S., Zaffagnini, S., Falcioni, B., Motta, M.: Determination of an optimal kinematic protocol for computer-assisted evaluation of anterior cruciate ligament deficiency. Ann Biomed Eng. 29(12), 1112–1121 (2001)

    Article  Google Scholar 

  5. Marcacci, M., Molgora, A.P., Zaffagnini, S., Vascellari, A., Iacono, F., Presti, M.L.: Anatomic double-bundle anterior cruciate ligament reconstruction with hamstrings. Arthroscopy 19(5), 540–546 (2003)

    Article  Google Scholar 

  6. Loh, J.C., Fukuda, Y., Tsuda, E., Streadman, R.J., Fu, F.H., Woo, S.L.: Knee stability and graft function following anterior cruciate ligament reconstruction: Comparison between 11 o’clock and 10 o’clock femoral tunnel placement. Arthroscopy 19(3), 297–304 (2003)

    Article  Google Scholar 

  7. Jalliard, R., Lavallee, S., Dessenne, V.: Computer assisted reconstruction of the anterior cruciate ligament. Clinical Orthopedic 354, 57–64 (1998)

    Article  Google Scholar 

  8. Sapega, A.A., Moyer, R.A., Schneck, C., Komalahiranya, N.: Testing for Isometry during reconstruction of the anterior cruciate ligament. Journal of Bone and Joint Surgery 72-A[2], 259–267 (1990)

    Google Scholar 

  9. Mushal, V., Burkart, A., Debski, R.E., Van Scyoc, A., Fu, F.H., Woo, S.L.: Anterior cruciate ligament tunnel placement: Comparison of insertion site anatomy with the guidelines of a computer-assisted surgical system. Arthroscopy 19(2), 152–160 (2003)

    Google Scholar 

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© 2004 Springer-Verlag Berlin Heidelberg

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Zaffagnini, S., Martelli, S., Bontempi, M., Bignozzi, S. (2004). Computer-Assisted Evaluation of Double-Bundle ACL Reconstruction. In: Yang, GZ., Jiang, TZ. (eds) Medical Imaging and Augmented Reality. MIAR 2004. Lecture Notes in Computer Science, vol 3150. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-28626-4_43

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  • DOI: https://doi.org/10.1007/978-3-540-28626-4_43

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-22877-6

  • Online ISBN: 978-3-540-28626-4

  • eBook Packages: Springer Book Archive

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