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Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy 1/2011

01.12.2011 | Knee

Does notch size predict ACL insertion site size?

verfasst von: Femke Wolters, Sharon H. A. Vrooijink, Carola F. Van Eck, Freddie H. Fu

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Sonderheft 1/2011

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Abstract

Purpose

The primary purpose of the current study is to identify a possible correlation between the femoral intercondylar notch size and the ACL insertion site size. The secondary purpose is to determine if there is a difference between male and female notch widths and insertion site sizes.

Methods

For this study, 82 patients (41 men and 41 women) with an average age of 24.1 ± 10.0 years (range 13–58 years) undergoing anterior cruciate ligament (ACL) reconstruction were included. Arthroscopic measurements were taken at the base, middle, and top of the notch. Additionally, the notch height was measured at the highest point. The insertion sites of the ACL were identified, marked using electrocautery, and measured. The correlation between notch width and ACL insertion site size was calculated. In addition, differences between men and women with regard to the notch width and ACL insertion site size were determined.

Results

Significant positive correlations were found between the notch widths and ACL insertion site measurements and ranged from 0.222 to 0.379 (P < 0.05). There were significant differences between men and women with regard to notch and insertion site size.

Conclusion

The results of this study show that there is a significant, but weak correlation between the notch width and the ACL insertion site size. Women had a smaller notch and a smaller insertion site than men. This knowledge could influence pre-operative decision-making with regard to graft choice, single- or double-bundle surgery, and graft size.

Level of evidence

Case series, Level IV.
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Metadaten
Titel
Does notch size predict ACL insertion site size?
verfasst von
Femke Wolters
Sharon H. A. Vrooijink
Carola F. Van Eck
Freddie H. Fu
Publikationsdatum
01.12.2011
Verlag
Springer-Verlag
Erschienen in
Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe Sonderheft 1/2011
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-011-1503-3

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