ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2023
The apex of the deep cartilage is a stable landmark to position the femoral tunnel during remnant-preserving anterior cruciate ligament reconstruction.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Consistency of Subcortical Osseous Structures in Femoral Cruciate Ligament Attachment Sites: A Combined 3D-CT and Histological Anatomical Study.Journal of personalized medicine · 2026Article
- Advances in anterior cruciate ligament reconstruction: Risk stratification, graft choices, and functional recovery in 2026.Journal of experimental orthopaedics · 2026Review
- Research progress on the application of mixed reality technology in femoral tunnel positioning during anterior cruciate ligament reconstruction.Frontiers in surgery · 2026Review
- The posterior femoral cartilage can be used as an anatomical reference for the creation of the femoral tunnel in anterior cruciate ligament reconstruction.Journal of experimental orthopaedics · 2025Article
- Improvement of Accuracy of Femoral Tunnel Positioning in ACL Surgery for Low-Volume Surgeons Using Intraoperative Fluoroscopy.Orthopaedic journal of sports medicine · 2025Article
- Virtual triple-bundle ACL graft via femoral tunnels behind the resident's ridge on 3D CT demonstrates equivalent orientation to native ACL.Journal of experimental orthopaedics · 2025Article
- Avulsion fracture is associated with more pain after anatomic repair procedure for ATFL injury at the talar side.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Reliable Anatomic Femoral Tunnel Positioning for Anterior Cruciate Ligament Reconstruction Using a Novel Femoral Aiming Guide.Video journal of sports medicineArticle
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
purposeThe aim of this retrospective cohort study was to investigate whether the apex of the deep cartilage (ADC) could help surgeons position the femoral tunnel accurately in remnant-preserving anterior cruciate ligament (ACL) reconstruction (ACLR).
methodsIn the current retrospective cohort study, a total of 134 patients who underwent ACLR between 2016 and 2020 were included. The femoral tunnel position was located using ADC as the landmark. The patients were divided into two groups: the remnant-preserving group (RP group, n = 68) underwent remnant-preserving ACLR, and the nonremnant group (NRP group, n = 66) underwent traditional ACLR with remnant removal. Postoperatively, the femoral tunnel position was evaluated on 3D-CT. The length from the ADC to the shallow cartilage margin (L) and to the centre of the femoral tunnel (l) and the length from the centre of the femoral tunnel to a low cartilage ratio in the direction from high to low (H) were measured.
resultsThe l/L values of the RP and NRP groups were both 0.4 ± 0.1 after rounding (n.s.), and the H values were 9.3 ± 1.6 mm and 9.3 ± 1.7 mm, respectively (n.s.). There was no significant difference in l/L or H between the two groups. The estimation plot also showed high consistency of H and l/L of the two groups. The inter- and intraobserver reliability of I, L, l/L, and H were almost perfect.
conclusionsThe apex of the deep cartilage is a good landmark for positioning the femoral tunnel in remnant-preserving ACL reconstruction. LEVEL OF EVIDENCE: Level III.
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Registered trials
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