Clinical anatomy of the anterior cruciate ligament and pre-operative prediction of ligament length

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dc.contributor.author Van Zyl, R.
dc.contributor.author Van Schoor, Albert-Neels
dc.contributor.author Du Toit, P.J.
dc.contributor.author Louw, Elizabeth M.
dc.date.accessioned 2017-05-17T05:30:34Z
dc.date.available 2017-05-17T05:30:34Z
dc.date.issued 2016
dc.description.abstract BACKGROUND : Ligament grafts used in anterior cruciate ligament (ACL) reconstruction need to be the correct length for proper functioning. If the graft length is incorrect, the patient could risk knee instability, loss of range of motion, or failure of graft fixation. Easier and time-efficient reconstruction will be facilitated if the length of the ACL is predicted in advance. Apart from examining the morphological properties of the ACL, this study aimed to determine whether the epicondylar width of an individual can be used to predict ACL length and thereby assist in restoring the normal anatomy of the ACL. METHODS : Ninety-one adult cadavers were studied. Patellar ligament (PL) length, ACL length, ACL width and the maximum femoral epicondylar width (FECW) were measured. RESULTS : The morphology of the ACL and PL was determined. The results revealed that FECW was the most reliable predictor of ACL length. A linear regression formula was developed in order to determine ACL length by measuring maximum FECW. CONCLUSIONS : ACL and PL morphology compared well with the results found in previous studies. An individual's FECW can be used to predict ACL length pre-operatively. These results could improve pre-operative planning of ACL reconstruction. en_ZA
dc.description.department Anatomy en_ZA
dc.description.department Statistics en_ZA
dc.description.uri http://www.scielo.org.za/scielo.php?script=sci_serial&pid=1681-150X&lng=pt&nrm=iso en_ZA
dc.identifier.citation Van Zyl, R, Van Schoor, A-N, Du Toit, PJ & Louw, EM 2016, 'Clinical anatomy of the anterior cruciate ligament and pre-operative prediction of ligament length', SA Orthopaedic Journal, vol. 15, no. 4, pp. 47-52. en_ZA
dc.identifier.issn 1681-150X
dc.identifier.uri http://hdl.handle.net/2263/60477
dc.language.iso en en_ZA
dc.publisher South African Orthopaedic Association en_ZA
dc.rights South African Orthopaedic Association en_ZA
dc.subject Femoral epicondyles en_ZA
dc.subject Ligament graft en_ZA
dc.subject Reconstruction en_ZA
dc.subject Anterior cruciate ligament (ACL) en_ZA
dc.title Clinical anatomy of the anterior cruciate ligament and pre-operative prediction of ligament length en_ZA
dc.type Article en_ZA


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