TITLE

Morphology of the Femoral Intercondylar Notch

AUTHOR(S)
Farrow, Lutul D.; Chen, Michael R.; Cooperman, Daniel R.; Victoroff, Brian N.; Goodfellow, Donald B.
PUB. DATE
October 2007
SOURCE
Journal of Bone & Joint Surgery, American Volume;Oct2007, Vol. 89-A Issue 10, p2150
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: During anterior cruciate ligament reconstruction, proper femoral tunnel placement is important. The purpose of the present study was to characterize the osseous anatomy of the femoral intercondylar notch. Methods: We studied the morphology of the femoral intercondylar notch in 200 human femora from skeletally mature donors, with specific attention being paid to the morphology of the ridge on the lateral wall of the intercondylar notch and the posterolateral rim of the intercondylar notch. The distances from the posterolateral rim of the intercondylar notch to the lateral intercondylar ridge and from the posterolateral rim of the intercondylar notch to the inlet of the intercondylar notch (notch depth) were measured at the nine, ten, and eleven o'clock positions for right knees and at the one, two and three o'clock positions for left knees. Results: The lateral intercondylar ridge was present in 194 femora and absent in six. The mean distance from the posterolateral rim of the intercondylar notch to the lateral intercondylar ridge was 9.0, 11.0, and 12.7 mm at the nine, ten, and eleven o'clock positions in right knees and the one, two, and three o'clock positions in left knees, respectively. We observed three different types of morphology of the posterolateral rim of the intercondylar notch. The morphology of the posterolateral rim of the intercondylar notch was distinct in 183 of 200 specimens. A distinct, straight border (type 1) was seen in 175 femora (87.5%); a distinct, V-shaped border (type 2) was seen in eight (4%); and an indistinct border (type 3) was seen in seventeen (8.5%). Conclusions: The morphology of the femoral intercondylar notch varies little. Occasionally, the posterolateral rim of the intercondylar notch is not well-defined. In these knees, accurate placement of commercial femoral tunnel aiming guides may be difficult. Clinical Relevance: This improved knowledge of the morphology of the intercondylar notch may assist the surgeon in placing the femoral tunnel in the proper location when performing anterior cruciate ligament reconstruction.
ACCESSION #
27093989

 

Related Articles

  • The KneeKG system: a review of the literature. Lustig, Sébastien; Magnussen, Robert; Cheze, Laurence; Neyret, Philippe // Knee Surgery, Sports Traumatology, Arthroscopy;Apr2012, Vol. 20 Issue 4, p633 

    Purpose: Accurately quantifying knee joint motion is not simple. Skin movement over the medial and lateral femoral condyles is the greatest obstacle to obtaining accurate movement data non-invasively. The KneeKGâ„¢ system was developed with the objective of providing high reliability...

  • Changes in ACL length at different knee flexion angles: an in vivo biomechanical study. Yon-Sik Yoo; Woon-Seob Jeong; Shetty, Nagraj S.; Ingham, Sheila J. M.; Smolinski, Patrick; Fu, Freddie // Knee Surgery, Sports Traumatology, Arthroscopy;Mar2010, Vol. 18 Issue 3, p292 

    Recently, there has been a tremendous impetus on anatomical reconstruction of the anterior cruciate ligament (ACL), and the double-bundle reconstruction concept has been advocated by many authors. It is, therefore, important to understand how the lengths of the two bundles of the ACL vary during...

  • Double-bundle versus single-bundle ACL reconstruction using the horizontal femoral position: a prospective, randomized study. Sastre, Sergi; Popescu, Dragos; Pomes, Jaume; Tomas, Xavier; Peidro, Lluis; Núñez, Montserrat // Knee Surgery, Sports Traumatology, Arthroscopy;Jan2010, Vol. 18 Issue 1, p32 

    The aim of this study was to evaluate whether anterior cruciate ligament (ACL) reconstruction using the double bundle technique (DB) improves stability in the knee compared with the single bundle technique (SB) with the femoral tunnel in a more horizontal position (2 or 10 o’clock). We...

  • Future of Double-bundle Anterior Cruciate Ligament (ACL) Reconstruction: Incorporation of ACL Anatomic Data into the Navigation System. Ishibashi, Yasuyuki; Tsuda, Eichi; Fukuda, Akira; Tsukuda, Harehiko; Toh, Satoshi // Orthopedics;Oct2006 Supplement, Vol. 29, pS108 

    This study compares anatomy and tunnel placement during double-bundle procedures. Double-bundle anterior cruciate ligament (ACL) reconstruction reproduces both the anteromedial and posterolateral bundles. Thirty-six knees from cadavers were used for anatomic study, and 38 navigated double-bundle...

  • Results of posterior cruciate-retaining unconstrained total knee arthroplasty after proximal tibial osteotomy for osteoarthritis : A prospective cohort study. Walther, Markus; König, Achim; Kirschner, Stephan; Gohlke, Frank // Archives of Orthopaedic & Trauma Surgery;Mar2000, Vol. 120 Issue 3/4, p166 

    The purpose of the study was to investigate the results of posterior cruciate ligament (PCL)-retaining total knee arthroplasty (TKA) after previous proximal closed wedge tibial osteotomy for degenerative arthritis according to the technique recommended by Coventry and Insall. Thirty-five...

  • The effect of femoral attachment location on anterior cruciate ligament reconstruction: graft tension patterns and restoration of normal anterior-posterior laxity patterns. Zavras, T. Dionyssios; Race, Amos; Amis, Andrew A. // Knee Surgery, Sports Traumatology, Arthroscopy;Mar2005, Vol. 13 Issue 2, p92 

    The issue of the best place to attach an anterior cruciate ligament graft to the femur is controversial, and different anatomic or isometric points have been recommended. It was hypothesised that one attachment site could be identified that would be best for restoring normal anterior-posterior...

  • Abstracts. Thompson, Clint // Journal of Athletic Training (National Athletic Trainers' Associ;Apr-Jun99, Vol. 34 Issue 2, p207 

    Reprints the abstract of the study `Evaluation-Based Protocol of the Anterior Cruciate Ligament,' by R.E. Mangine and T.E. Kremchek which appeared in the 1997 issue of the `Journal of Sport Rehabilitation.'

  • Abstracts of current literature. Robinson, Kevin // Physical Therapy;Jun1998, Vol. 78 Issue 6, p650 

    Presents a summary of the article `Reconstruction of the Anterior and Posterior Cruciate Ligaments After Knee Dislocation: Use of Early Protected Postoperative Motion to Decrease Arthrofibrosis,' by F.R. Noyes and S.D. Barber-Westin which was published in the `American Journal of Sports...

  • ACL reconstruction: comparison between transtibial and anteromedial portal techniques. Silva, Alcindo; Sampaio, Ricardo; Pinto, Elisabete // Knee Surgery, Sports Traumatology, Arthroscopy;May2012, Vol. 20 Issue 5, p896 

    Purpose: The purpose of this study was to compare the transtibial reconstruction technique of the anterior cruciate ligament (ACL) with the anteromedial (AM) portal technique in their ability to place the femoral and tibial tunnels within the ACL footprints. Methods: Forty patients were...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics