App-Based Analysis of Fluoroscopic Images According to Bernard-Hertel Method for the Determination of Femoral Tunnel Positioning in Anterior Cruciate Ligament Reconstruction
Arthroscopy Techniques, ISSN: 2212-6287, Vol: 13, Issue: 2, Page: 102863
2024
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Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
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Article Description
The accurate positioning of the femoral tunnel is crucial for the success of anterior cruciate ligament reconstruction. Malpositioning of the tunnel is believed to be one of the most important reasons for graft failure. While use of anatomic landmarks and industry-supplied aiming devices aid the surgeon in placing the drill pin in the correct position, fluoroscopic imaging is an additional tool used intraoperatively to verify pin placement. While interpretation of fluoroscopic imaging is frequently based on eyeball measurement, a more accurate analysis of a lateral image uses the quadrant method by Bernard-Hertel. This method has been primarily used for scientific research due to its complexity and has not been integrated into clinical routine yet. We present a digital app-based approach to easily quantify the femoral pin position based on the quadrant method. This approach is mobile and easy to use. Quantification of pin position of femoral bone tunnel on a lateral fluoroscopic image may be used for quality control and teaching purposes or may provide the surgeon with additional information during ACL reconstruction.
Bibliographic Details
http://www.sciencedirect.com/science/article/pii/S2212628723003225; http://dx.doi.org/10.1016/j.eats.2023.10.006; http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85185575921&origin=inward; http://www.ncbi.nlm.nih.gov/pubmed/38435250; https://linkinghub.elsevier.com/retrieve/pii/S2212628723003225; https://dx.doi.org/10.1016/j.eats.2023.10.006
Elsevier BV
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