ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2020
Notchplasty alters knee biomechanics after anatomic ACL reconstruction.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 16 citations in OpenAlex.
- Outcomes of ACL Reconstruction with Quadriceps Tendon Graft Based on Graft Diameter Relative to Notch Width.Orthopaedic journal of sports medicine · 2026Article
- Combining motor competence and motor learning strategies helps to reduce the risk of biomechanical factors associated with ACL injury.BMC sports science, medicine & rehabilitation · 2026Article
- Soft-Tissue Notchplasty to Prevent Localized Arthrofibrosis in Anterior Cruciate Ligament Reconstruction.Arthroscopy techniques · 2025Article
- The effects of different focus cues and motor learning strategies on landing mechanics in male handball players.Scientific reports · 2025Article
- Notchplasty in anterior cruciate ligament reconstruction: A systematic review of clinical outcomes.Journal of orthopaedics · 2025Review
- Chinese expert consensus on failure and revision after anterior cruciate ligament reconstruction.Journal of orthopaedic translation · 2025Article
- Anterior Cruciate Ligament Reconstruction in Skeletally Immature Patients Using an All-Epiphyseal Technique: A Prospective Cohort Study.Orthopaedic journal of sports medicine · 2025Article
- Biomechanical alterations during gait following partial ACL injury and the effectiveness of anatomical reconstruction: anFrontiers in bioengineering and biotechnology · 2025Article
- Notchplasty is associated with decreased risk of anterior cruciate ligament graft revision.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- Automatic segmentation model of intercondylar fossa based on deep learning: a novel and effective assessment method for the notch volume.BMC musculoskeletal disorders · 2022Article
- Does Bone Regrow After Notchplasty in ACL Reconstruction? A Prospective Computed Tomography Study With 2-Year Follow-up.Orthopaedic journal of sports medicine · 2021Article
- The risk of graft impingement still exists in modern ACL surgery and correlates with degenerative MRI signal changes.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Suture tape augmentation improves laxity of MCL repair in the ACL reconstructed knee.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Anterior cruciate ligament femoral-tunnel drilling through an anteromedial portal: 3-dimensional plane drilling angle affects tunnel length relative to notchplasty.Knee surgery & related research · 2021Article
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe aims of this study were (1) to study the biomechanics of single-bundle anatomic ACL reconstructed knees with and without notchplasty using a robotic testing system and (2) to determine if there would be a difference between performing a small or large notchplasty.
methodsFifteen fresh-frozen specimens were used in this study. The ACL reconstruction (ACL-R) was performed using an anatomic single-bundle technique with the 8 mm soft tissue graft fixed at 30° with suspensory fixation on the femoral side and a screw and washer on the tibial side. The notchplasty was then created with a burr. The following knee states were compared: (1) ACL-R, (2) ACL-R with a small (3 mm) notchplasty, and (3) ACL-R with a large (6 mm) notchplasty. Four loading conditions were applied: (1) an anterior drawer with an 89 N anterior tibial load, (2) simulated pivot-shift loading, (3) a 5 Nm internal rotational moment, and (4) a 5 Nm external rotational moment.
resultsUnder anterior tibial loading, anterior tibial translation increased, and graft force decreased significantly after ACL-R + 3 mm notchplasty and ACLR + 6 mm notchplasty compared to ACL-R alone at FE, 15° and 30° of knee flexion. There were no changes in either anterior tibial translation or graft force under simulated pivot-shift loading, internal rotational moment, or external rotational moment.
conclusionWhen added to anatomic ACL reconstruction, notchplasty increased anterior tibial translation and decreased graft forces during low knee flexion angles. There was no difference between a small and large notchplasty. The findings of this study are clinically relevant as the purpose of anatomic ACL reconstruction is to restore normal knee laxity, and while notchplasty may be helpful in avoiding graft impingement and improving visualization, removing even 3 mm of bone leads to biomechanical changes.
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