FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W3012201784> ?p ?o ?g. }

• W3012201784 endingPage "1099" @default.
• W3012201784 startingPage "1088" @default.
• W3012201784 abstract "Background: Femoral tunnels that are not anatomically placed within the native anterior cruciate ligament (ACL) footprint during ACL reconstruction are associated with residual instability, graft rupture, and poor clinical outcomes. Although surgeons may intend to place their femoral tunnels within the native ACL attachment, this is not always achieved. This study assesses the variation between intended and achieved femoral tunnel positions in a large cohort of experienced ACL surgeons. Hypothesis: The accuracy with which experienced ACL surgeons achieve their intended femoral tunnel position is dependent on viewing portal, localization strategy, and drilling technique. Study Design: Controlled laboratory study. Methods: A total of 221 surgeons indicated their intended femoral tunnel location on a true lateral radiograph of a cadaveric knee specimen and a scaled photograph. Each surgeon then arthroscopically demonstrated the femoral tunnel on the specimen. The position was captured using fluoroscopy. The Euclidean distance (the straight-line distance between 2 points) between the intended and achieved tunnel positions, referenced to a grid applied to the lateral femoral condyle, was compared. Data were analyzed according to surgeons’ viewing portal (anteromedial [AM] or anterolateral [AL]), tunnel localization strategy (offset aimer, estimation from landmarks, ACL ruler, or C-arm fluoroscopy), and stated drilling technique (transtibial, AM portal, or outside-in). Results: Surgeons who viewed the lateral intercondylar notch wall through the AM portal were closer (mean distance, 9.5) to their intended position than those who viewed through the AL portal (mean distance, 15.1; P < .0001). By localization strategy, the mean distance between achieved and intended tunnel positions was greater for surgeons who used an offset aimer (14.5) and estimated the femoral tunnel position (12.9) than for those using a malleable ACL ruler (8.1; P < .0001) and fluoroscopy (4.3; P < .0001). Surgeons’ preferred drilling technique (AM portal, transtibial, or outside-in) had no effect on distance between intended and achieved positions. However, the mean achieved position was higher in the intercondylar notch for those using transtibial drilling ( P < .042). Conclusion: Surgeons using the AM portal to view the femoral attachment site were closer to their intended tunnel position than those who viewed it with the arthroscope in the AL portal. Surgeons who used fluoroscopy to localize femoral tunnel position were the closest to their intended position. Those who used estimation or an offset aimer had the farthest distance between achieved and intended tunnel positions. Clinical Relevance: Although accurate tunnel placement can be achieved using any method, given the disparity between intended and achieved tunnel positions, it may be advisable, even for high-volume surgeons, to verify the placement of their tunnels using either fluoroscopy or a malleable ACL ruler to ensure that they achieve their intended position. Fluoroscopy may be particularly useful for cases where the native femoral stump is no longer visible and for revisions. Viewing through the AM portal is recommended to aid accuracy of tunnel placement." @default.
• W3012201784 created "2020-03-23" @default.
• W3012201784 creator A5008275009 @default.
• W3012201784 creator A5021163036 @default.
• W3012201784 creator A5060863654 @default.
• W3012201784 creator A5071410483 @default.
• W3012201784 creator A5090126708 @default.
• W3012201784 date "2020-03-17" @default.
• W3012201784 modified "2023-09-24" @default.
• W3012201784 title "Anterior Cruciate Ligament Femoral Tunnel Placement: An Analysis of the Intended Versus Achieved Position for 221 International High-Volume ACL Surgeons" @default.
• W3012201784 cites W1918135557 @default.
• W3012201784 cites W1968942189 @default.
• W3012201784 cites W1969085193 @default.
• W3012201784 cites W1969560800 @default.
• W3012201784 cites W1971259732 @default.
• W3012201784 cites W1980063314 @default.
• W3012201784 cites W1981456727 @default.
• W3012201784 cites W1982282724 @default.
• W3012201784 cites W1987477782 @default.
• W3012201784 cites W1988283233 @default.
• W3012201784 cites W2005814820 @default.
• W3012201784 cites W2011267741 @default.
• W3012201784 cites W2011946968 @default.
• W3012201784 cites W2013713328 @default.
• W3012201784 cites W2018576673 @default.
• W3012201784 cites W2019112904 @default.
• W3012201784 cites W2021154563 @default.
• W3012201784 cites W2029396427 @default.
• W3012201784 cites W2035318708 @default.
• W3012201784 cites W2039965139 @default.
• W3012201784 cites W2051144128 @default.
• W3012201784 cites W2057820342 @default.
• W3012201784 cites W2058117234 @default.
• W3012201784 cites W2061917253 @default.
• W3012201784 cites W2063993024 @default.
• W3012201784 cites W2070934021 @default.
• W3012201784 cites W2071901907 @default.
• W3012201784 cites W2085989400 @default.
• W3012201784 cites W2090802619 @default.
• W3012201784 cites W2095197286 @default.
• W3012201784 cites W2097904138 @default.
• W3012201784 cites W2107519448 @default.
• W3012201784 cites W2110972267 @default.
• W3012201784 cites W2113665540 @default.
• W3012201784 cites W2114677440 @default.
• W3012201784 cites W2115189632 @default.
• W3012201784 cites W2118369511 @default.
• W3012201784 cites W2122566264 @default.
• W3012201784 cites W2131457985 @default.
• W3012201784 cites W2134630947 @default.
• W3012201784 cites W2145990728 @default.
• W3012201784 cites W2153829712 @default.
• W3012201784 cites W2165657205 @default.
• W3012201784 cites W2167101807 @default.
• W3012201784 cites W2167354198 @default.
• W3012201784 cites W2170949826 @default.
• W3012201784 cites W2171615984 @default.
• W3012201784 cites W2214097194 @default.
• W3012201784 cites W2220865783 @default.
• W3012201784 cites W2278417395 @default.
• W3012201784 cites W2319105801 @default.
• W3012201784 cites W24036875 @default.
• W3012201784 cites W3164481590 @default.
• W3012201784 doi "https://doi.org/10.1177/0363546520906158" @default.
• W3012201784 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/32182091" @default.
• W3012201784 hasPublicationYear "2020" @default.
• W3012201784 type Work @default.
• W3012201784 sameAs 3012201784 @default.
• W3012201784 citedByCount "20" @default.
• W3012201784 countsByYear W30122017842020 @default.
• W3012201784 countsByYear W30122017842021 @default.
• W3012201784 countsByYear W30122017842022 @default.
• W3012201784 countsByYear W30122017842023 @default.
• W3012201784 crossrefType "journal-article" @default.
• W3012201784 hasAuthorship W3012201784A5008275009 @default.
• W3012201784 hasAuthorship W3012201784A5021163036 @default.
• W3012201784 hasAuthorship W3012201784A5060863654 @default.
• W3012201784 hasAuthorship W3012201784A5071410483 @default.
• W3012201784 hasAuthorship W3012201784A5090126708 @default.
• W3012201784 hasConcept C141071460 @default.
• W3012201784 hasConcept C175696284 @default.
• W3012201784 hasConcept C2776805002 @default.
• W3012201784 hasConcept C2778434673 @default.
• W3012201784 hasConcept C2780554211 @default.
• W3012201784 hasConcept C29694066 @default.
• W3012201784 hasConcept C36454342 @default.
• W3012201784 hasConcept C71924100 @default.
• W3012201784 hasConceptScore W3012201784C141071460 @default.
• W3012201784 hasConceptScore W3012201784C175696284 @default.
• W3012201784 hasConceptScore W3012201784C2776805002 @default.
• W3012201784 hasConceptScore W3012201784C2778434673 @default.
• W3012201784 hasConceptScore W3012201784C2780554211 @default.
• W3012201784 hasConceptScore W3012201784C29694066 @default.
• W3012201784 hasConceptScore W3012201784C36454342 @default.
• W3012201784 hasConceptScore W3012201784C71924100 @default.
• W3012201784 hasFunder F4320310956 @default.
• W3012201784 hasIssue "5" @default.
• W3012201784 hasLocation W30122017841 @default.

• next