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Visualization of postoperative anterior cruciate ligament reconstruction bone tunnels: Reliability of standard radiographs, CT scans, and 3D virtual reality images
BACKGROUND AND PURPOSE: Non-anatomic bone tunnel placement is the most common cause of a failed ACL reconstruction. Accurate and reproducible methods to visualize and document bone tunnel placement are therefore important. We evaluated the reliability of standard radiographs, CT scans, and a 3-dimen...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Informa Healthcare
2011
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3247888/ https://www.ncbi.nlm.nih.gov/pubmed/21999625 http://dx.doi.org/10.3109/17453674.2011.623566 |
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author | Meuffels, Duncan E Potters, Jan-Willem Koning, Anton HJ Brown Jr, Charles H Verhaar, Jan AN Reijman, Max |
author_facet | Meuffels, Duncan E Potters, Jan-Willem Koning, Anton HJ Brown Jr, Charles H Verhaar, Jan AN Reijman, Max |
author_sort | Meuffels, Duncan E |
collection | PubMed |
description | BACKGROUND AND PURPOSE: Non-anatomic bone tunnel placement is the most common cause of a failed ACL reconstruction. Accurate and reproducible methods to visualize and document bone tunnel placement are therefore important. We evaluated the reliability of standard radiographs, CT scans, and a 3-dimensional (3D) virtual reality (VR) approach in visualizing and measuring ACL reconstruction bone tunnel placement. METHODS: 50 consecutive patients who underwent single-bundle ACL reconstructions were evaluated postoperatively by standard radiographs, CT scans, and 3D VR images. Tibial and femoral tunnel positions were measured by 2 observers using the traditional methods of Amis, Aglietti, Hoser, Stäubli, and the method of Benereau for the VR approach. RESULTS: The tunnel was visualized in 50–82% of the standard radiographs and in 100% of the CT scans and 3D VR images. Using the intraclass correlation coefficient (ICC), the inter- and intraobserver agreement was between 0.39 and 0.83 for the standard femoral and tibial radiographs. CT scans showed an ICC range of 0.49–0.76 for the inter- and intraobserver agreement. The agreement in 3D VR was almost perfect, with an ICC of 0.83 for the femur and 0.95 for the tibia. INTERPRETATION: CT scans and 3D VR images are more reliable in assessing postoperative bone tunnel placement following ACL reconstruction than standard radiographs. |
format | Online Article Text |
id | pubmed-3247888 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | Informa Healthcare |
record_format | MEDLINE/PubMed |
spelling | pubmed-32478882012-01-11 Visualization of postoperative anterior cruciate ligament reconstruction bone tunnels: Reliability of standard radiographs, CT scans, and 3D virtual reality images Meuffels, Duncan E Potters, Jan-Willem Koning, Anton HJ Brown Jr, Charles H Verhaar, Jan AN Reijman, Max Acta Orthop Article BACKGROUND AND PURPOSE: Non-anatomic bone tunnel placement is the most common cause of a failed ACL reconstruction. Accurate and reproducible methods to visualize and document bone tunnel placement are therefore important. We evaluated the reliability of standard radiographs, CT scans, and a 3-dimensional (3D) virtual reality (VR) approach in visualizing and measuring ACL reconstruction bone tunnel placement. METHODS: 50 consecutive patients who underwent single-bundle ACL reconstructions were evaluated postoperatively by standard radiographs, CT scans, and 3D VR images. Tibial and femoral tunnel positions were measured by 2 observers using the traditional methods of Amis, Aglietti, Hoser, Stäubli, and the method of Benereau for the VR approach. RESULTS: The tunnel was visualized in 50–82% of the standard radiographs and in 100% of the CT scans and 3D VR images. Using the intraclass correlation coefficient (ICC), the inter- and intraobserver agreement was between 0.39 and 0.83 for the standard femoral and tibial radiographs. CT scans showed an ICC range of 0.49–0.76 for the inter- and intraobserver agreement. The agreement in 3D VR was almost perfect, with an ICC of 0.83 for the femur and 0.95 for the tibia. INTERPRETATION: CT scans and 3D VR images are more reliable in assessing postoperative bone tunnel placement following ACL reconstruction than standard radiographs. Informa Healthcare 2011-12 2011-11-25 /pmc/articles/PMC3247888/ /pubmed/21999625 http://dx.doi.org/10.3109/17453674.2011.623566 Text en Copyright: © Nordic Orthopaedic Federation http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the source is credited. |
spellingShingle | Article Meuffels, Duncan E Potters, Jan-Willem Koning, Anton HJ Brown Jr, Charles H Verhaar, Jan AN Reijman, Max Visualization of postoperative anterior cruciate ligament reconstruction bone tunnels: Reliability of standard radiographs, CT scans, and 3D virtual reality images |
title | Visualization of postoperative anterior cruciate ligament reconstruction bone tunnels: Reliability of standard radiographs, CT scans, and 3D virtual reality images |
title_full | Visualization of postoperative anterior cruciate ligament reconstruction bone tunnels: Reliability of standard radiographs, CT scans, and 3D virtual reality images |
title_fullStr | Visualization of postoperative anterior cruciate ligament reconstruction bone tunnels: Reliability of standard radiographs, CT scans, and 3D virtual reality images |
title_full_unstemmed | Visualization of postoperative anterior cruciate ligament reconstruction bone tunnels: Reliability of standard radiographs, CT scans, and 3D virtual reality images |
title_short | Visualization of postoperative anterior cruciate ligament reconstruction bone tunnels: Reliability of standard radiographs, CT scans, and 3D virtual reality images |
title_sort | visualization of postoperative anterior cruciate ligament reconstruction bone tunnels: reliability of standard radiographs, ct scans, and 3d virtual reality images |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3247888/ https://www.ncbi.nlm.nih.gov/pubmed/21999625 http://dx.doi.org/10.3109/17453674.2011.623566 |
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