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): Okazaki Narihiro, Shino Konsei, Yokoi Hiroyuki, Ohori Tomoki

Primary Institution: Sports Orthopaedic Center Yukioka Hospital, Osaka, Japan; Department of Orthopaedic Surgery, Osaka University Graduate School of Medicine, Suita, 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, indicating equivalent orientation.
  • Angles of AMM and PL in OR-VACLG were significantly lower than those of N-ACL.

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

Three-dimensional CT and MRI were obtained in 14 normal knees, and two types of virtual ACL grafts were created and compared.

Potential Biases

Potential bias due to the small sample size and reliance on imaging techniques.

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 years.

Statistical Information

P-Value

p=0.012

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1002/jeo2.70125

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