Femoral tunnel formation using reference anatomical structures of the femoral intercondylar space during anterior cruciate ligament reconstruction

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Abstract

Purpose: a clinical rationale for using reference structures of the intercondylar space to determine the femoral footprint of the ACL. Material: sixty one patients with ACL deficiency who underwent anatomic anterior cruciate ligament reconstruction using single-bundle «bone-patellar tendon-bone» autograft. Methods: radiography and radiometry, computed tomography, arthroscopy, arthrometry. Results: lateral intercondylar and lateral bifurcate ridges can be verified arthroscopically with a frequency of 94% and 48%. Orientation of the femoral tunnel formed using reference structures is more horizontal in coronal plane and has increased sagittal slope compare with traditional technique. Conclusions: The lateral intercondylar and lateral bifurcate ridges can be used as reference structures for femoral tunnel formation during anatomical anterior cruciate ligament reconstruction.

About the authors

D. A. Malanin

Volgograd State Medical University

Author for correspondence.
Email: malanin67@mail.ru
Russian Federation

I. A. Suchilin

Volgograd State Medical University

Email: omnio@mail.ru
Russian Federation

M. V. Demeschenko

Volgograd State Medical University

Email: maximus275@yandex.ru
Russian Federation

L. L. Tscherezov

Volgograd State Medical University

Email: chrzv@rambler.ru
Russian Federation

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