Evidence map›Paper›PMID 40019692›Full record

ReviewJournal of robotic surgery2025

The role of navigation technology in anterior cruciate ligament reconstruction bone tunnel positioning.

Zi Zhang, Binyang Meng, Wenhe Li, Jiangang Cao

Abstract readReview
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In one paragraph

Review in Journal of robotic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Zi Zhang *Department of Sports Injury and Arthroscopy, Tianjin Hospital, Tianjin University, Tianjin, 300222, People's Republic of China.
Binyang Meng *Department of Sports Injury and Arthroscopy, Tianjin Hospital, Tianjin University, Tianjin, 300222, People's Republic of China.
Wenhe Li *Department of Sports Injury and Arthroscopy, Tianjin Hospital, Tianjin University, Tianjin, 300222, People's Republic of China.
Jiangang CaoDepartment of Sports Injury and Arthroscopy, Tianjin Hospital, Tianjin University, Tianjin, 300222, People's Republic of China. 2023246112@tju.edu.cn.ORCID https://orcid.org/0009-0008-2528-5686

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In the past decade, navigation technology-assisted bone tunnels positioning for anterior cruciate ligament reconstruction (ACLR) has received great attention. The purpose of this review is to summarize the navigation technologies applied in ACLR, describe the tunnel positioning accuracy of these technologies, and summarize their advantages and disadvantages, providing a basis for navigation technology to assist ACLR. This review discusses the limitations of traditional bone tunnel positioning methods in ACLR and further introduces various navigation techniques, focusing on their positioning accuracy and postoperative outcomes for patients. Additionally, it presents commercial systems utilizing reality-based technologies and examines their impact on the arthroscopic learning curve for less experienced surgeons. The osseous landmarks are currently the most used positioning method, but they still have shortcomings. Navigation technologies primarily focus on computer-assisted navigation, which, however, requires additional incisions. Virtual reality and augmented reality are mainly utilized in preoperative planning, with the best-reported positioning accuracy of augmented reality being 0.32 mm, while most other accuracies are within 3 mm. Mixed reality offers a novel approach for precise positioning, resulting in more optimal and consistent postoperative tunnel placement. Navigation technology improves the positioning accuracy of the bone tunnels and achieves good short-term results. Key to the future is long-term follow-up to assess clinical outcomes of navigation techniques.

Indexed as

Anterior Cruciate Ligament ReconstructionRobotic Surgical ProceduresSurgery, Computer-AssistedArthroscopyAugmented RealityHumansVirtual RealityACL reconstructionMixed RealityNavigated-orthopedic surgeryReviewTunnel placement

Identifiers

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Registered trials

None linked

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.