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European Journal of Orthopaedic Surgery & Traumatology

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01-05-2019 | Original Article • KNEE - ANATOMY

The correlation between the femoral anterior cruciate ligament footprint area and the morphology of the distal femur: three-dimensional CT evaluation in cadaveric knees

Authors: Makoto Suruga, Takashi Horaguchi, Takanori Iriuchishima, Genki Iwama, Yoshiyuki Yahagi, Yasuaki Tokuhashi, Shin Aizawa

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 4/2019

Abstract

Backgrounds

“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).

Methods

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.

Results

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.

Conclusion

Morphological evaluation using 3D-CT preoperatively may be useful in predicting the femoral ACL footprint size.

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Title: The correlation between the femoral anterior cruciate ligament footprint area and the morphology of the distal femur: three-dimensional CT evaluation in cadaveric knees
Authors: Makoto Suruga
Takashi Horaguchi
Takanori Iriuchishima
Genki Iwama
Yoshiyuki Yahagi
Yasuaki Tokuhashi
Shin Aizawa
Publication date: 01-05-2019
Publisher: Springer Paris
Published in: European Journal of Orthopaedic Surgery & Traumatology / Issue 4/2019
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-019-02387-6

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

The correlation between the femoral anterior cruciate ligament footprint area and the morphology of the distal femur: three-dimensional CT evaluation in cadaveric knees

Abstract

Backgrounds

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Backgrounds

Methods

Results

Conclusion

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