Virtual triple‐bundle ACL graft via femoral tunnels behind the resident's ridge on 3D CT demonstrates equivalent orientation to native ACL
2025

Virtual ACL Graft Orientation Compared to Native ACL

Sample size: 14 publication Evidence: moderate

Author Information

Author(s): Narihiro Okazaki, Konsei Shino, Hiroyuki Yokoi, Tomoki Ohori

Primary Institution: Sports Orthopaedic Center Yukioka Hospital, Osaka, Japan

Hypothesis

BR-VACLG on the 3D CT shows the closer orientation to N-ACL on MRI.

Conclusion

The virtual triple bundle ACL graft via femoral tunnels behind the RR on 3D CT shows equivalent orientation to the native ACL on MRI in full extension.

Supporting Evidence

  • The mean ACL-TP angles of N-ACL and BR-VACLG were similar.
  • The angles of AMM and PL in OR-VACLG were significantly lower than those of N-ACL.
  • The study used advanced imaging techniques to accurately assess graft orientation.

Takeaway

The study looked at how to place a new type of ACL graft in the knee, and found that it can be done in a way that looks just like the natural ACL.

Methodology

3D CT and MRI were used to analyze the angles of ACL grafts in normal knees.

Limitations

The sample size is small, and some bony landmarks were not clearly depicted on CT.

Participant Demographics

14 normal left knees from healthy volunteers, 7 males and 7 females, mean age 27.8 ± 4.6 years.

Statistical Information

P-Value

p=0.012 for F-AM and p=0.018 for F-PL

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1002/jeo2.70125

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