Accuracy of a computer-assisted planning and placement system for anatomical femoral tunnel positioning in anterior cruciate ligament reconstruction

被引：21
|
作者：
Luites, J. W. H. [1 ]
Wymenga, A. B. [2 ]
Blankevoort, L. [3 ]
Eygendaal, D. [4 ]
Verdonschot, N. [5 ,6 ]
机构：
[1] Sint Maartensklin, Nijmegen, Netherlands
[2] Sint Maartensklin, Dept Orthopaed, Nijmegen, Netherlands
[3] Univ Amsterdam, Acad Med Ctr, Dept Orthopaed Surg, Orthopaed Res Ctr Amsterdam, NL-1105 AZ Amsterdam, Netherlands
[4] Amphia Hosp, Dept Orthopaed, Breda, Netherlands
[5] Radboud Univ Nijmegen Med Ctr, Orthopaed Res Lab, Nijmegen, Netherlands
[6] Univ Twente, Lab Biomech Engn, NL-7500 AE Enschede, Netherlands
来源：
INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY | 2014年 / 10卷 / 04期
关键词：
orthopedic surgery; anterior cruciate ligament reconstruction; anatomical double bundle femoral tunnel; computer-assisted; tunnel planning; tunnel placement; BUNDLE ACL RECONSTRUCTION; GRAFT; KNEE; SURGERY; KINEMATICS; LOCATION; OUTCOMES; LAXITY;
D O I：
10.1002/rcs.1548
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
BackgroundFemoral tunnel positioning is a difficult, but important factor in successful anterior cruciate ligament (ACL) reconstruction. Computer navigation can improve the anatomical planning procedure besides the tunnel placement procedure. MethodsThe accuracy of the computer-assisted femoral tunnel positioning method for anatomical double bundle ACL-reconstruction with a three-dimensional template was determined with respect to both aspects for AM and PL bundles in 12 cadaveric knees. ResultsThe accuracy of the total tunnel positioning procedure was 2.7 mm (AM) and 3.2 mm (PL). These values consisted of the accuracies for planning (AM:2.9 mm; PL:3.2 mm) and for placement (about 0.4 mm). The template showed a systematic bias for the PL-position. ConclusionsThe computer-assisted templating method showed high accuracy for tunnel placement and has promising capacity for application in anatomical tunnel planning. Improvement of the template will result in an accurate and robust navigation system for femoral tunnel positioning in ACL-reconstruction. Copyright (c) 2013 John Wiley & Sons, Ltd.
引用
收藏
页码：438 / 446
页数：9
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