A Three-Dimensional Evaluation of EndoButton Displacement Direction After Anterior Cruciate Ligament Reconstruction in CT Image Using Tunnel Axis

Author(s):  
Yosuke Uozumi ◽  
◽  
Kouki Nagamune ◽  
Naoki Nakano ◽  
Kanto Nagai ◽  
...  

The goal of this study was to propose a threedimensional evaluation of the EndoButton displacement direction after anterior cruciate ligament reconstruction in the multidetector-row computed tomography (MDCT) image by using the tunnel axis. The proposed method was applied experimentally to six subjects. The result of the simulated experiment revealed that the proposed method could analyze EndoButton displacement direction satisfactorily because the error was less than that of the MDCT image resolution. The clinical experiment results revealed displacement relative to the tunnel between time-zero and the followup point. We conclude that the proposed method can quantitatively evaluate the EndoButton displacement direction from the raw MDCT image after anterior cruciate ligament reconstruction; further, our findings suggest that the EndoButton was displaced relative to the tunnel between time-zero and the follow-up point.

2017 ◽  
Vol 30 (09) ◽  
pp. 916-919 ◽  
Author(s):  
Eric Vaillant ◽  
Brent Parks ◽  
Lyn Camire ◽  
Richard Hinton

AbstractThe aim of this article is to compare diameter and stiffness, displacement, and strain in a five-strand versus four-strand hamstring graft for anterior cruciate ligament reconstruction. Eight matched pairs of lower extremities underwent four-strand or five-strand hamstring graft reconstruction. Diameter was significantly higher in the five-strand versus the four-strand construct (p = 0.002). No significant difference was found between the groups in construct displacement or stiffness. Significantly higher strain was observed in the inner limb versus the outer limb in the four-strand construct (p = 0.001) and in the inner limb versus the fifth limb in the 5-strand construct (p = 0.004). A fifth limb added to a four-strand hamstring graft significantly increased graft diameter but did not significantly change stiffness or displacement, suggesting that attachment of additional graft material via suture did not provide for full incorporation of the added limb into the graft at time zero. The inner limb in both constructs absorbed significantly greater load than did other limbs. The use of suture to attach additional material to a four-strand hamstring graft may not contribute to improved biomechanical qualities of the graft at time zero.


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