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Current Issue - July 2022, Volume 16, Issue No. 2

Official Journal of Malaysian Orthopaedic Association and ASEAN Orthopaedic Association

Investigation of the Importance of Knee Position during Femoral Tunnel Reaming; Figure 4 versus Hyperflexion


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  2. Raposo C, Barreto JP, Sousa C, Ribeiro L, Melo R, Oliveira JP, et al. Video-based computer navigation in knee arthroscopy for patient-specific ACL reconstruction. Int J Comput Assist Radiol Surg. 2019; 14(9): 1529-39. doi: 10.1007/s11548-019-02021-0
  3. Sven S, Maurice B, Hoeher J, Marc B. Variability of tunnel positioning in fluoroscopic-assisted ACL reconstruction. Knee Surg Sports Traumatol Arthrosc. 2015; 23(8): 2269-77. doi: 10.1007/s00167-014-3029-y
  4. Wen Z, Zhang H, Yan W, Mohamed SI, Zhao P, Huang X, et al. Oval femoral tunnel technique is superior to the conventional round femoral tunnel technique using the hamstring tendon in anatomical anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 2020; 28(7): 2245-54. doi: 10.1007/s00167-019-05809-4
  5. Bernard M, Hertel P, Hornung H, Cierpinski T. Femoral insertion of the ACL. Radiographic quadrant method. Am J Knee Surg. 1997; 10(1): 14-21; discussion 21-2.
  6. Kosy JD, Walmsley K, Anaspure R, Schranz PJ, Mandalia VI. Flexible reamers create comparable anterior cruciate ligament reconstruction femoral tunnels without the hyperflexion required with rigid reamers: 3D-CT analysis of tunnel morphology in a randomised clinical trial. Knee Surg Sports Traumatol Arthrosc. 2020; 28(6): 1971-8. doi: 10.1007/s00167-019-05709-7
  7. Karkenny AJ, Mendelis JR, Geller DS, Gomez JA. The Role of Intraoperative Navigation in Orthopaedic Surgery. J Am Acad Orthop Surg. 2019; 27(19): e849-58. doi: 10.5435/JAAOS-D-18-00478
  8. Chung K, Kim SJ, Choi CH, Kim SH, Choi Y, Jung M. Does Knee Flexion Influence the Relationship between the Femoral Tunnel and the Lateral Anatomic Structures During ACL Reconstruction? Clin Orthop Relat Res. 2019; 477(10): 2228-39. doi: 10.1097/CORR.0000000000000845
  9. Pansard E, Klouche S, Vardi G, Greeff E, Hardy P, Ferguson M. How accurate are anatomic landmarks for femoral tunnel positioning in anterior cruciate ligament reconstruction? An in vivo imaging analysis comparing both anteromedial portal and outside-in techniques. 2015; 31(5): 882-9. doi: 10.1016/j.arthro.2014.11.038
  10. Furumatsu T, Fujii M, Tanaka T, Miyazawa S, Ozaki T. The figure-of-nine leg position for anatomic anterior cruciate ligament reconstruction. Orthop Traumatol Surg Res. 2015; 101(3): 391-3. doi: 10.1016/j.otsr.2014.12.015
  11. Kim MS, Koh IJ, Sohn S, Kang BM, Jung H, In Y. Femoral offset guide facilitates accurate and precise femoral tunnel placement for single-bundle anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 2019; 27(11): 3505-12. doi: 10.1007/s00167-019-05446-x
  12. Osti M, Krawinkel A, Ostermann M, Hoffelner T, Benedetto KP. Femoral and tibial graft tunnel parameters after transtibial, anteromedial portal, and outside-in single-bundle anterior cruciate ligament reconstruction. Am J Sports Med. 2015; 43(9): 2250- 8. doi: 10.1177/0363546515590221
  13. Arno S, Bell CP, Alaia MJ, Singh BC, Jazrawi LM, Walker PS, et al. Does Anteromedial Portal Drilling Improve Footprint Placement in Anterior Cruciate Ligament Reconstruction? Clin Orthop Relat Res. 2016; 474(7): 1679-89. doi: 10.1007/s11999- 016-4847-7
  14. Bird JH, Carmont MR, Dhillon M, Smith N, Brown C, Thompson P, et al. Validation of a new technique to determine midbundle femoral tunnel position in anterior cruciate ligament reconstruction using 3-dimensional computed tomography analysis. 2011; 27(9): 1259-67. doi: 10.1016/j.arthro.2011.03.077
  15. Bowers AL, Bedi A, Lipman JD, Potter HG, Rodeo SA, Pearle AD, et al. Comparison of anterior cruciate ligament tunnel position and graft obliquity with transtibial and anteromedial portal femoral tunnel reaming techniques using high-resolution magnetic resonance imaging. 2011; 27(11): 1511-22. doi: 10.1016/j.arthro.2011.07.007
  16. Kamei G, Ochi M, Usman MA, Mahmoud EH. A new technique to avoid articular cartilage injury in anterior cruciate ligament reconstruction through far antero-medial portal. Orthop Traumatol Surg Res. 2014; 100(7): 827-30. doi: 10.1016/j.otsr.2014.06.016
  17. Hofbauer M, Muller B, Murawski CD, van Eck CF, Fu FH. The concept of individualized anatomic anterior cruciate ligament (ACL) reconstruction. Knee Surg Sports Traumatol Arthrosc. 2014; 22(5): 979-86. doi: 10.1007/s00167-013-2562-4
  18. Weiler A, Wagner M, Kittl C. The posterior horn of the lateral meniscus is a reliable novel landmark for femoral tunnel placement in ACL reconstruction. Knee Surg Sports Traumatol Arthrosc. 2018; 26(5): 1384-91. doi: 10.1007/s00167-017-4759-4
  19. Oshima T, Putnis S, Grasso S, Parker DA. The space available for the anterior cruciate ligament in the intercondylar notch is less in patients with ACL injury. Knee Surg Sports Traumatol Arthrosc. 2020; 28(7): 2105-15. doi: 10.1007/s00167-020-05921-w
  20. Hensler D, Working ZM, Illingworth KD, Thorhauer ED, Tashman S, Fu FH. Medial portal drilling: effects on the femoral tunnel aperture morphology during anterior cruciate ligament reconstruction. J Bone Joint Surg Am. 2011; 93(22): 2063-71. doi: 10.2106/JBJS.J.01705
  21. Forsythe B, Collins MJ, Arns TA, Zuke WA, Khair M, Verma NN, et al. Optimization of Anteromedial Portal Femoral Tunnel Drilling With Flexible and Straight Reamers in Anterior Cruciate Ligament Reconstruction: A Cadaveric 3-Dimensional Computed Tomography Analysis. 2017; 33(5): 1036-43. doi: 10.1016/j.arthro.2016.11.004
  22. Iriuchishima T, Fu FH, Ryu K, Suruga M, Yahagi Y, Aizawa S. Sagittal femoral condyle morphology correlates with femoral tunnel length in anatomical single bundle ACL reconstruction. Knee Surg Sports Traumatol Arthrosc. 2018; 26(4): 1110-6. doi: 10.1007/s00167-017-4513-y

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The Malaysian Orthopaedic Journal is a peer-reviewed journal that is published three times a year in both print and electronic online version. The purpose of this journal is to publish original research studies, evaluation of current practices and case reports in various subspecialties of orthopaedics and traumatology, as well as associated fields like basic science, biomedical engineering, rehabilitation medicine and nursing.

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