Does the use of fluoroscopy and isometry during anterior cruciate ligament reconstruction affect surgical decision making?

Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine
Vishal M MehtaDonald C Fithian

Abstract

Poor results after anterior cruciate ligament (ACL) reconstruction are often due to inaccurate graft placement. Numerous strategies have been advocated to improve accuracy and consistency of tunnel positioning, including computer-assisted navigation. Less expensive alternatives, such as intraoperative fluoroscopy and isometry, have also been advocated for confirming guide pin placement before reaming the femoral tunnel. It is unknown how often these techniques cause surgeons to change the location of their femoral tunnel at the time of surgery. We undertook this study to determine how often this approach results in repositioning of the guide pin before final graft placement. We hypothesized that a lower level of surgeon experience would lead to a higher frequency of repositioning compared to a higher level of experience. Prospective, case series. Institutional. Intraoperative data were gathered prospectively from 413 consecutive, primary ACL reconstructions performed by the sports medicine group at our institution. Of the 413 procedures enrolled in this study, 407 were available for analysis. Six procedures were excluded because the tension isometer was unavailable during the procedure. Isometry and fluoroscopy were used in all...Continue Reading

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Citations

Jul 10, 2014·Archives of Orthopaedic and Trauma Surgery·Sven ShafizadehMarc Banerjee
Apr 23, 2015·Orthopedics·Charlton StuckenFotios Tjoumakaris
May 13, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Shafizadeh SvenBanerjee Marc
Oct 28, 2016·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Byung Hoon LeeJoon Ho Wang
Nov 6, 2014·Sports Medicine and Arthroscopy Review·Jason Koh, Matthew S Marcus
Oct 19, 2012·The American Journal of Sports Medicine·Mark O McConkeyMorgan H Jones
Jul 14, 2020·Orthopaedic Journal of Sports Medicine·Fang WanShiyi Chen

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