ArticleArthroscopy techniques2024
App-Based Analysis of Fluoroscopic Images According to Bernard-Hertel Method for the Determination of Femoral Tunnel Positioning in Anterior Cruciate Ligament Reconstruction.
Article in Arthroscopy techniques, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
3 citing papers in PubMed, 3 citations in OpenAlex.
- [Revision anterior cruciate ligament reconstruction with fluoroscopically controlled positioning of the femoral and tibial bone tunnel].Operative Orthopadie und Traumatologie · 2026Review
- Consistency of Subcortical Osseous Structures in Femoral Cruciate Ligament Attachment Sites: A Combined 3D-CT and Histological Anatomical Study.Journal of personalized medicine · 2026Article
- Improvement of Accuracy of Femoral Tunnel Positioning in ACL Surgery for Low-Volume Surgeons Using Intraoperative Fluoroscopy.Orthopaedic journal of sports medicine · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The accurate positioning of the femoral tunnel is crucial for the success of anterior cruciate ligament reconstruction. Malpositioning of the tunnel is believed to be one of the most important reasons for graft failure. While use of anatomic landmarks and industry-supplied aiming devices aid the surgeon in placing the drill pin in the correct position, fluoroscopic imaging is an additional tool used intraoperatively to verify pin placement. While interpretation of fluoroscopic imaging is frequently based on eyeball measurement, a more accurate analysis of a lateral image uses the quadrant method by Bernard-Hertel. This method has been primarily used for scientific research due to its complexity and has not been integrated into clinical routine yet. We present a digital app-based approach to easily quantify the femoral pin position based on the quadrant method. This approach is mobile and easy to use. Quantification of pin position of femoral bone tunnel on a lateral fluoroscopic image may be used for quality control and teaching purposes or may provide the surgeon with additional information during ACL reconstruction.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.