Anatomic double-bundle anterior cruciate ligament reconstruction, using CT-based navigation and fiducial markers.

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
Keiji TenshoNaoto Saito

Abstract

Accurate placement of separate anteromedial and posterolateral bundle bone tunnels is crucial for anatomic, double-bundle anterior cruciate ligament (ACL) reconstruction. However, identifying the anatomic footprint at which to make the tibial and femoral bone tunnels is not a straightforward procedure. To overcome this problem, we used a CT-based navigation technique with a registration procedure based on fiducial markers (FMs). Preoperatively, 10 FM points were placed on skin around knee joint and scanned with CT. Imaging data of the knee were recorded on the computer system for preoperative registration and surgical planning. Intraoperatively, with a reference frame fixed to the distal medial aspect of femur and tibia, paired-point matching registration was performed with the use of points marked on skin through FM center holes. During tibial tunnel guide wire placement, tibial aiming guide with tracking device fed back the position of tip and direction of the guide wire on the three-dimensional (3D) tibia bone surface image and multiple image planes in real time. For the femoral side, the navigation pointer was placed at the footprint center with visual guidance of 3D image of lateral wall sagittal view on navigation monitor...Continue Reading

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Citations

May 14, 2005·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Miroslav Milankov, Dragan Savic
May 11, 2013·The Knee·Michael B CrossAndrew D Pearle
May 14, 2014·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Yung HanPaul A Martineau
Jul 12, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Tomohiro TomiharaNagakazu Shimada
Jul 5, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Makoto NishimoriMitsuo Ochi
Oct 3, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Shuji TaketomiTakumi Nakagawa
Jul 16, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Yong Seuk LeeYong Kyun Cho
Sep 17, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·S AldrianM Hofbauer
Oct 12, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Yung HanPaul A Martineau
Oct 25, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Yohei KawakamiRyosuke Kuroda
Aug 30, 2012·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Takashi NagaiScott M Lephart
Aug 14, 2013·Orthopedics·Andreas F MavrogenisPanayiotis J Papagelopoulos
Oct 28, 2016·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·S ZaffagniniM Marcacci
Jun 29, 2018·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Won-Joon ChoHyun-Gi Seo

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