Volumetric Damage to the Femoral Physis During Double-Bundle Posterior Cruciate Ligament Reconstruction: A Magnetic Resonance Imaging Computer Modeling Study

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
Kevin G SheaJohn C Jacobs

Abstract

The purpose of this study was to use computer models to evaluate the volume of femoral physeal disruption in double-bundle posterior cruciate ligament (PCL) reconstruction in patients with open physes. Ten skeletally immature patients (6 girls and 4 boys) were selected for this study. The magnetic resonance imaging scans of each patient were converted into a 3-dimensional model using computer-aided design/computer-aided manufacturing software. The software allowed the users to differentiate the epiphyseal, physeal, and metaphyseal tissues. This allowed for quantification of volume removed of each tissue type. Furthermore, we used the 3-dimensional models to simulate an anatomic double-bundle technique using 6-, 7-, 8-, and 9-mm-diameter tunnels. The software method reflects an inside-out drilling technique. For drill holes of all diameters, the posteromedial tunnels exited the knee inferior to the physis, thus avoiding physeal damage. In contrast, all the anterolateral tunnels perforated the physis. The results for the percent of total physis removed are as follows: 6-mm tunnel, 1.79% ± 0.99%; 7-mm tunnel, 2.23% ± 1.19%; 8-mm tunnel, 3.00% ± 1.54%; and 9-mm tunnel, 3.84% ± 1.73%. This computer modeling simulation of double-bund...Continue Reading

References

Jul 1, 1995·The American Journal of Sports Medicine·D M StadelmaierH Ross
Apr 1, 1997·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·P LobenhofferC Krettek
Feb 14, 1998·The Journal of Bone and Joint Surgery. British Volume·A Race, A A Amis
Mar 27, 2002·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Kevin G SheaPaul D Traughber
Dec 6, 2005·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Ender UgutmenFaik Altintas
Dec 27, 2005·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Kyoung Ho YoonChan Teak Lim
Oct 10, 2006·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Keith L MarkolfDavid R McAllister
Oct 27, 2006·Journal of Pediatric Orthopedics·Wudbhav N SankarTheodore J Ganley
May 22, 2007·Journal of Orthopaedic Surgery and Research·Raffaele GarofaloElyazid Mouhsine
Jul 4, 2007·The Journal of Bone and Joint Surgery. American Volume·Allen F Anderson, Christian N Anderson
Feb 5, 2008·The Journal of Bone and Joint Surgery. American Volume·Osmar V LopesFreddie H Fu
Jul 16, 2008·Computer Aided Surgery : Official Journal of the International Society for Computer Aided Surgery·F GelaudeB Lauwers
May 8, 2009·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Wirat KongcharoensombatMitsuo Ochi
Dec 8, 2009·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Kevin G SheaRonald P Pfeiffer
Dec 8, 2009·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Robert B Kohen, Jon K Sekiya
Apr 7, 2010·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Karen M BovidJon K Sekiya
Apr 22, 2011·The Journal of Bone and Joint Surgery. American Volume·J Todd R LawrenceWilliam E Garrett
Feb 3, 2012·The Journal of Bone and Joint Surgery. American Volume·John W XerogeanesDane C Todd
May 9, 2014·The Journal of Bone and Joint Surgery. American Volume·Kevin G SheaTheodore J Ganley

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Citations

Aug 24, 2021·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Federica RossoDavide Edoardo Bonasia
Sep 22, 2021·Chinese Journal of Integrative Medicine·Lan-Qing LyuQiu-Ping Chen

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