Variability of landmark acquisition affects tunnel calculation in image-free ACL navigation

Verfasser / Beitragende:
[Sven Shafizadeh, Maurice Balke, Ulrich Hagn, Stefan Grote, Bertil Bouillon, Marc Banerjee]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/7(2015-07-01), 1917-1924
Format:
Artikel (online)
ID: 605457069
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024 7 0 |a 10.1007/s00167-014-2963-z  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-2963-z 
245 0 0 |a Variability of landmark acquisition affects tunnel calculation in image-free ACL navigation  |h [Elektronische Daten]  |c [Sven Shafizadeh, Maurice Balke, Ulrich Hagn, Stefan Grote, Bertil Bouillon, Marc Banerjee] 
520 3 |a Purpose: The purpose of this study was to determine the inter- and intraobserver variability of intraarticular landmark identification for tunnel position calculation in image-free anterior cruciate ligament (ACL) navigation. Methods: In a test/retest scenario, thirteen experienced ACL surgeons (>50 reconstructions year) experienced in image-free ACL navigation were asked to identify the landmarks required for image-free ACL navigation in the same cadaver knee. Landmark positions were registered using a fluoroscopic ACL navigation system. Positions were determined using validated radiological measurement methods. For variability analysis, mean positions, deviations between the test/retest positions, standard deviations (SD) and range were calculated. Results: Interobserver analysis showed a mean variability (SD) for the tibial landmark positions of 3.0mm with deviations of up to 24.3mm (range). Mean femoral landmark variability was 2.9mm (SD) with deviations of up to 11.3mm (range). Intraobserver analysis showed a tibial reproducibility of 2.2mm (SD 2.0mm; range 10.9mm) and a femoral of 1.9mm (SD 1.9mm; range 10.4mm). Conclusion: The data of the presented study suggest that a considerable inter- and intraobserver variability in intraarticular landmark identification exists. Reasonable ranges were found that have to be considered as a potential risk for miscalculation of tunnel positions in image-free ACL reconstruction. Clinical relevance: Landmark acquisition affects tunnel calculation in image-free ACL. Level of evidence: IV. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a ACL  |2 nationallicence 
690 7 |a Tunnel positions  |2 nationallicence 
690 7 |a Navigation  |2 nationallicence 
690 7 |a Variability  |2 nationallicence 
690 7 |a Landmark acquisition  |2 nationallicence 
700 1 |a Shafizadeh  |D Sven  |u Department of Trauma and Orthopaedic Surgery, Cologne Merheim Medical Centre, Witten/Herdecke University, Ostmerheimer Strasse 200, 51109, Cologne, Germany  |4 aut 
700 1 |a Balke  |D Maurice  |u Department of Trauma and Orthopaedic Surgery, Cologne Merheim Medical Centre, Witten/Herdecke University, Ostmerheimer Strasse 200, 51109, Cologne, Germany  |4 aut 
700 1 |a Hagn  |D Ulrich  |u Department of Surgery, Hospital Cologne-Porz, Urbacherweg 19, 51149, Cologne, Germany  |4 aut 
700 1 |a Grote  |D Stefan  |u Department of Trauma, Hand and Reconstructive Surgery, Grosshadern Hospital Munich, Ludwig Maximilian University Munich, Marchioninistraße 15, 81377, Munich, Germany  |4 aut 
700 1 |a Bouillon  |D Bertil  |u Department of Trauma and Orthopaedic Surgery, Cologne Merheim Medical Centre, Witten/Herdecke University, Ostmerheimer Strasse 200, 51109, Cologne, Germany  |4 aut 
700 1 |a Banerjee  |D Marc  |u Department of Trauma and Orthopaedic Surgery, Cologne Merheim Medical Centre, Witten/Herdecke University, Ostmerheimer Strasse 200, 51109, Cologne, Germany  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/7(2015-07-01), 1917-1924  |x 0942-2056  |q 23:7<1917  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-2963-z  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-014-2963-z  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Shafizadeh  |D Sven  |u Department of Trauma and Orthopaedic Surgery, Cologne Merheim Medical Centre, Witten/Herdecke University, Ostmerheimer Strasse 200, 51109, Cologne, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Balke  |D Maurice  |u Department of Trauma and Orthopaedic Surgery, Cologne Merheim Medical Centre, Witten/Herdecke University, Ostmerheimer Strasse 200, 51109, Cologne, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hagn  |D Ulrich  |u Department of Surgery, Hospital Cologne-Porz, Urbacherweg 19, 51149, Cologne, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Grote  |D Stefan  |u Department of Trauma, Hand and Reconstructive Surgery, Grosshadern Hospital Munich, Ludwig Maximilian University Munich, Marchioninistraße 15, 81377, Munich, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Bouillon  |D Bertil  |u Department of Trauma and Orthopaedic Surgery, Cologne Merheim Medical Centre, Witten/Herdecke University, Ostmerheimer Strasse 200, 51109, Cologne, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Banerjee  |D Marc  |u Department of Trauma and Orthopaedic Surgery, Cologne Merheim Medical Centre, Witten/Herdecke University, Ostmerheimer Strasse 200, 51109, Cologne, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/7(2015-07-01), 1917-1924  |x 0942-2056  |q 23:7<1917  |1 2015  |2 23  |o 167