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01-12-2005 | Original Article

Comparison of volumetric bone mineral density in the tibial region of interest for ACL reconstruction

Authors: Scott A. Klein, John Nyland, David N. M. Caborn, Yavuz Kocabey, Akbar Nawab

Published in: Surgical and Radiologic Anatomy | Issue 5/2005

Abstract

Adequate tibial bone mineral density (BMD) is essential to soft tissue graft fixation during anterior cruciate ligament (ACL) reconstruction. The purpose of this study was to compare volumetric bone plug density measurements at the tibial region of interest for ACL reconstruction using a standardized immersion technique and Archimedes’ principle. Cancellous bone cores were harvested from the proximal, middle, and distal metaphyseal regions of the lateral tibia and from the standard tibial tunnel location used for ACL reconstruction of 18 cadaveric specimens. Proximal tibial cores displayed 32.6% greater BMD than middle tibial cores and 31.8% greater BMD than distal tibial cores, but did not differ from the BMD of the tibial tunnel cores. Correlational analysis confirmed that the cancellous BMD in the tibial tunnel related to the cancellous BMD of the proximal and distal lateral tibial metaphysis. In conjunction with its adjacent cortical bone, the cancellous BMD of the region used for standard tibial tunnel placement provides an effective foundation for ACL graft fixation. In tibia with poor BMD, bicortical fixation that incorporates cortical bone from the distal tibial tunnel region is recommended.

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Title: Comparison of volumetric bone mineral density in the tibial region of interest for ACL reconstruction
Authors: Scott A. Klein
John Nyland
David N. M. Caborn
Yavuz Kocabey
Akbar Nawab
Publication date: 01-12-2005
Publisher: Springer-Verlag
Published in: Surgical and Radiologic Anatomy / Issue 5/2005
Print ISSN: 0930-1038
Electronic ISSN: 1279-8517
DOI: https://doi.org/10.1007/s00276-005-0007-6

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Comparison of volumetric bone mineral density in the tibial region of interest for ACL reconstruction

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