The posterior femoral cartilage can be used as an anatomical reference for the creation of the femoral tunnel in anterior cruciate ligament reconstruction

IF 2.7 Q2 ORTHOPEDICS

Journal of Experimental Orthopaedics Pub Date : 2025-09-05 DOI:10.1002/jeo2.70403

Viktor Nelson Mazzola Corrêa, Nayra Deise dos Anjos Rabelo, Alfredo dos Santos Netto, Victor Marques de Oliveira, Luiz Gabriel Betni Guglielmetti, Ricardo de Paula Leite Cury

{"title":"The posterior femoral cartilage can be used as an anatomical reference for the creation of the femoral tunnel in anterior cruciate ligament reconstruction","authors":"Viktor Nelson Mazzola Corrêa, Nayra Deise dos Anjos Rabelo, Alfredo dos Santos Netto, Victor Marques de Oliveira, Luiz Gabriel Betni Guglielmetti, Ricardo de Paula Leite Cury","doi":"10.1002/jeo2.70403","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Purpose</h3>\n \n <p>The objective of the study was to evaluate the accuracy of femoral tunnel positioning in the reconstruction of the anteromedial (AM) bundle of the Anterior Cruciate Ligament (ACL) using the most proximal and posterior portion of the lateral femoral condyle cartilage (Point C).</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>From December 2022 to December 2023, 47 patients underwent anterior cruciate ligament reconstruction (ACLR) in outside in manner using Point C as an anatomical landmark for AM bundle ACLR. After the procedure, the patients underwent tomographic evaluation to assess the accuracy of the positioning, using Bernard's quadrants. Two evaluators at three different times measured the percentages for each case.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>The average distance from Point C to the anterior portion of the lateral femoral condyle was 23.3 mm, and the average correlation value of Point C with the centre of the AM bundle in the horizontal coordinate intraoperatively was 7.7 mm. The average depth values (X coordinate) for evaluator 1 at Time 1 were 23.6%, and at Time 2 were 23.6%. The average height values (Y coordinate) at Time 1 were 22.7%, and at Time 2 were 22.1%. The analysis by the second evaluator at the third time point had an average X coordinate of 23.6% and Y coordinate of 22.3%.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>Point C proved to be a reliable anatomical landmark, exhibiting good accuracy in mimicking the AM bundle in the femoral tunnel during ACLR.</p>\n </section>\n \n <section>\n \n <h3> Level of Evidence</h3>\n \n <p>Level IV.</p>\n </section>\n </div>","PeriodicalId":36909,"journal":{"name":"Journal of Experimental Orthopaedics","volume":"12 3","pages":""},"PeriodicalIF":2.7000,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://esskajournals.onlinelibrary.wiley.com/doi/epdf/10.1002/jeo2.70403","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Experimental Orthopaedics","FirstCategoryId":"1085","ListUrlMain":"https://esskajournals.onlinelibrary.wiley.com/doi/10.1002/jeo2.70403","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ORTHOPEDICS","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose

The objective of the study was to evaluate the accuracy of femoral tunnel positioning in the reconstruction of the anteromedial (AM) bundle of the Anterior Cruciate Ligament (ACL) using the most proximal and posterior portion of the lateral femoral condyle cartilage (Point C).

Methods

From December 2022 to December 2023, 47 patients underwent anterior cruciate ligament reconstruction (ACLR) in outside in manner using Point C as an anatomical landmark for AM bundle ACLR. After the procedure, the patients underwent tomographic evaluation to assess the accuracy of the positioning, using Bernard's quadrants. Two evaluators at three different times measured the percentages for each case.

Results

The average distance from Point C to the anterior portion of the lateral femoral condyle was 23.3 mm, and the average correlation value of Point C with the centre of the AM bundle in the horizontal coordinate intraoperatively was 7.7 mm. The average depth values (X coordinate) for evaluator 1 at Time 1 were 23.6%, and at Time 2 were 23.6%. The average height values (Y coordinate) at Time 1 were 22.7%, and at Time 2 were 22.1%. The analysis by the second evaluator at the third time point had an average X coordinate of 23.6% and Y coordinate of 22.3%.

Conclusion

Point C proved to be a reliable anatomical landmark, exhibiting good accuracy in mimicking the AM bundle in the femoral tunnel during ACLR.

Level of Evidence

Level IV.

Abstract Image

查看原文本刊更多论文

在前交叉韧带重建中，股骨后软骨可作为建立股骨隧道的解剖学参考

目的本研究的目的是评估股骨隧道定位的准确性在重建前交叉韧带（ACL）的前内侧束（AM）使用股骨外侧髁突软骨（点C）的最近端和最后端。方法自2022年12月至2023年12月，对47例患者行体外交叉韧带重建术（ACLR），以C点为AM束ACLR的解剖标志。手术后，患者接受断层扫描评估，以评估定位的准确性，使用伯纳德象限。两名评估人员在三个不同的时间测量了每种情况的百分比。结果C点距股骨外侧髁前部的平均距离为23.3 mm，术中C点与AM束中心水平坐标的平均相关值为7.7 mm。评估者1在时间1时的平均深度值（X坐标）为23.6%，在时间2时为23.6%。时间1的平均高度（Y坐标）为22.7%，时间2的平均高度为22.1%。第二个评价者在第三个时间点的分析平均X坐标为23.6%，Y坐标为22.3%。结论C点被证明是一个可靠的解剖标志，在ACLR中模拟股骨隧道中的AM束具有良好的准确性。证据等级四级。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊