TIBIAL LANDMARKS IN ACL ANATOMIC REPAIR

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Abstract

Purpose: to identify anatomical landmarks on tibial articular surface to serve as reference in preparing tibial canal with respect to the center of ACL footprint during single bundle arthroscopic repair.

Materials and methods. Twelve frozen knee joint specimens and 68 unpaired macerated human tibia were studied using anatomical, morphometric, statistical methods as well as graphic simulation.

Results. Center of the tibial ACL footprint was located 13,1±1,7 mm anteriorly from posterior border of intercondylar eminence, at 1/3 of the distance along the line connecting apexes of internal and external tubercles and 6,1±0,5 mm anteriorly along the perpendicular raised to this point.

Conclusion. Internal and external tubercles, as well as posterior border of intercondylar eminence can be considered as anatomical references to determine the center of the tibial ACL footprint and to prepare bone canals for anatomic ligament repair.

About the authors

M. V. Demesсhenko

Volgograd State Medical University, pl. Pavshikh Bortsov, 1, Volgograd, Russia, 400131

Volgograd Medical Scientific Centre, ul. Rokossovskogo, 1G, Volgograd, Russia, 400081

Author for correspondence.
Email: maximus275@yandex.ru

assistant of department of traumatology, orthopedics and field surgery, Volgograd State Medical University; researcher of Volgograd Medical Science Centeru

Russian Federation

D. A. Malanin

Volgograd State Medical University, pl. Pavshikh Bortsov, 1, Volgograd, Russia, 400131

Volgograd Medical Scientific Centre, ul. Rokossovskogo, 1G, Volgograd, Russia, 400081

Email: fake@neicon.ru

professor, the head of department of traumatology, orthopedics and field surgery, Volgograd State Medical University; the head of laboratory of experimental and clinical orthopedics, Volgograd Medical Science Center

Russian Federation

I. A. Suchilin

Volgograd State Medical University, pl. Pavshikh Bortsov, 1, Volgograd, Russia, 400131

Volgograd Medical Scientific Centre, ul. Rokossovskogo, 1G, Volgograd, Russia, 400081

Email: fake@neicon.ru

assistant of department of traumatology, orthopedics and field surgery, Volgograd State Medical University; researcher of Volgograd Medical Science Centeru

Russian Federation

L. L. Cherezov

Volgograd State Medical University, pl. Pavshikh Bortsov, 1, Volgograd, Russia, 400131

Email: fake@neicon.ru

assistant researcher of Department of traumatology, orthopedics and field surgery, Volgograd State Medical University; researcher of Volgograd Medical Science Center

Russian Federation

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