ArticleIndian journal of orthopaedics2022
How Important is the Tunnel Position in Outcomes Post-ACL Reconstruction: A 3D CT-Based Study.
Article in Indian journal of orthopaedics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Superior accuracy of femoral bone tunnel drilling in robot-assisted anterior cruciate ligament reconstruction: a multicenter, randomized, controlled trial.International journal of surgery (London, England) · 2025Trial
- Notch-referenced mediolateral verification of tibial tunnel position in anterior cruciate ligament reconstruction: a 3D imaging validation study.Archives of orthopaedic and trauma surgery · 2026Article
- Postoperative Radiographic Reports After Anterior Cruciate Ligament Reconstruction: Are We Assessing What Really Matters?Journal of clinical medicine · 2026Article
- Sequential Workflow for Integrated Biological Repair in Combined Four-Graft Knee Reconstruction.SICOT-J · 2026Article
- Association Between Secondary ACL Injury and Tibial Spine Height After Primary ACL Reconstruction: A Case-Control Study.Orthopaedic journal of sports medicine · 2025Article
- Clinical application of health education based on the "Internet+perioperative health education" mode for patients undergoing surgery for anterior cruciate ligament injury.Pakistan journal of medical sciences · 2025Article
- Superior reproducibility and femoral tunnel angulation with hybrid transtibial vs. anteromedial portal techniques in ACL reconstruction: a retrospective case-control study.Frontiers in surgery · 2025Article
- The Clinical Significance of Femoral and Tibial Anatomy for Anterior Cruciate Ligament Injury and ReconstructionCurrent medical imaging · 2025Review
- Accuracy of femoral tunnel placement using three different techniques in performing arthroscopic all-inside anterior Cruciate Ligament reconstruction; A randomized study.Journal of clinical orthopaedics and trauma · 2024Article
- Usefulness of 3-Dimensional Computed Tomography Assessment of Femoral Tunnel after Anterior Cruciate Ligament Reconstruction.Medicina (Kaunas, Lithuania) · 2023Review
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5 authors.
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Abstract
backgroundDrilling the femoral and tibial tunnels at their anatomical locations are critical for good outcomes and involve seeing the footprints well. We intended to compare two techniques of drilling the tunnels and the patient-reported outcomes and knee stability of patients undergoing single bundle ACL reconstruction using 3D CT to evaluate if the tunnels were anatomical or not. MATERIALS AND
methodsSixty single bundle ACL reconstructions were analyzed, 30 each with Technique A and B. Pre-operative and after a minimum 27 month follow-up Lysholm, IKDC, Tegner score, hop test, and Lachman test were noted. 3D CT was done to classify femoral tunnels positions as being well placed, slightly or grossly misplaced and tibial tunnels as optimal or suboptimal and compared.
resultsSixty ACL reconstructions had full follow-up with a mean follow-up of 34 months. There was no significant difference between tunnel positions between the two techniques. Well-placed femoral tunnel had better Lysholm score (62.2 ± 16.2 v/s 48.5 ± 17.2,
conclusionTibial tunnel positions were optimal in most cases and did not differ between the two techniques. Well-placed femoral tunnels and surgeries done within 3 months of the injury produced best results.
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