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

dc.contributor.authorVan Zyl, R.
dc.contributor.authorVan Schoor, Albert-Neels
dc.contributor.authorDu Toit, Peet J.
dc.contributor.authorLouw, Elizabeth M.
dc.date.accessioned2017-05-17T05:30:34Z
dc.date.available2017-05-17T05:30:34Z
dc.date.issued2016
dc.description.abstractBACKGROUND : 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.departmentAnatomyen_ZA
dc.description.departmentStatisticsen_ZA
dc.description.urihttp://www.scielo.org.za/scielo.php?script=sci_serial&pid=1681-150X&lng=pt&nrm=isoen_ZA
dc.identifier.citationVan 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.issn1681-150X
dc.identifier.urihttp://hdl.handle.net/2263/60477
dc.language.isoenen_ZA
dc.publisherSouth African Orthopaedic Associationen_ZA
dc.rightsSouth African Orthopaedic Associationen_ZA
dc.subjectFemoral epicondylesen_ZA
dc.subjectLigament graften_ZA
dc.subjectReconstructionen_ZA
dc.subjectAnterior cruciate ligament (ACL)en_ZA
dc.subject.otherHealth sciences articles SDG-03
dc.subject.otherSDG-03: Good health and well-being
dc.subject.otherHealth sciences articles SDG-17
dc.subject.otherSDG-17: Partnerships for the goals
dc.titleClinical anatomy of the anterior cruciate ligament and pre-operative prediction of ligament lengthen_ZA
dc.typeArticleen_ZA

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