Evidence map›Paper›PMID 42382084›Full record

ArticleJournal of experimental orthopaedics2026

Femoral offset aimer use is not associated with improved anatomic accuracy in hamstring ACL reconstruction: A 3D-CT study.

Francisco J Simón-Sánchez, Miguel A Palacios-Flores, Simone Perelli, Nicola Pizza, Jason Bravo, Àngel Masferrer-Pino, Joan C Monllau

Abstract read
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Article in Journal of experimental orthopaedics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Francisco J Simón-SánchezInstitut Català de Traumatologia i Medicina del'Esport (ICATME)-Hospital Universitari Dexeus Universitat Autònoma de Barcelona Barcelona Spain.ORCID https://orcid.org/0009-0003-7111-0290
Miguel A Palacios-FloresOrthopaedic Surgery Service EsSalud-Hospital Nacional Edgardo Rebagliati Martins Lima Perú.
Simone PerelliInstitut Català de Traumatologia i Medicina del'Esport (ICATME)-Hospital Universitari Dexeus Universitat Autònoma de Barcelona Barcelona Spain.
Nicola PizzaInstitut Català de Traumatologia i Medicina del'Esport (ICATME)-Hospital Universitari Dexeus Universitat Autònoma de Barcelona Barcelona Spain.
Jason BravoOrthopaedic Surgery Service Hospital José Casimiro Ulloa Lima Perú.
Àngel Masferrer-PinoInstitut Català de Traumatologia i Medicina del'Esport (ICATME)-Hospital Universitari Dexeus Universitat Autònoma de Barcelona Barcelona Spain.
Joan C MonllauInstitut Català de Traumatologia i Medicina del'Esport (ICATME)-Hospital Universitari Dexeus Universitat Autònoma de Barcelona Barcelona Spain.ORCID https://orcid.org/0000-0002-2418-4874

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To assess femoral and tibial tunnel positioning after primary hamstring autograft anterior cruciate ligament (ACL) reconstruction using postoperative three-dimensional computed tomography (3D-CT), and to evaluate whether tunnel placement differs with the use of a 7-mm femoral offset aimer and surgeon experience. Methods: This retrospective cross-sectional study included patients aged 18-50 years who underwent Primary single-bundle hamstring ACL reconstruction between 2022 and 2025 and had postoperative 3D-CT imaging available. The femoral and tibial tunnel positions were assessed using validated 3D-CT measurement methods and then classified according to the published anatomic reference ranges. The association of tunnel accuracy with 7-mm femoral offset aimer use and surgeon experience was analysed. Interobserver reliability was assessed using the intraclass correlation coefficient. Results: Eighty-six patients were included (37.2% female; median age 25.5 years). High-experience surgeons performed the procedures in 39.5% of cases, and a 7-mm offset aimer was used in 81.4% ( Conclusion: In this retrospective 3D-CT study, 7-mm femoral offset aimer use was associated with a more posterior femoral tunnel position but not with improved overall anatomic accuracy. Surgeon experience was not associated with femoral or tibial tunnel accuracy. The clinical relevance of these radiological findings remains uncertain. Level of Evidence: Level III.

Indexed as

anterior cruciate ligament reconstructionBernard–Hertel quadrant methodfemoral offset guidethree‐dimensional computed tomography (3D‐CT)tunnel positioning

Identifiers

PMID42382084
PMCPMC13317660

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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.