Technology-assisted anterior cruciate ligament reconstruction improves tunnel placement but leads to no change in clinical outcomes: a systematic review and meta-analysis

Article Orthopedics

Increasing incidence of anterior cruciate ligament reconstruction: a 17-year population-based study

Yuba Raj Paudel et al.

Summary: This study aims to assess the trends of anterior cruciate ligament reconstruction (ACLR) in Alberta, Canada. The incidence of ACLR has been increasing, especially among females and individuals under the age of 20.

KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY (2023)

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Review Orthopedics

Navigation in anterior cruciate ligament reconstruction: State of the art

Francisco Figueroa et al.

Summary: Computer navigation is mainly used in ACL surgery to improve tunnel position accuracy and evaluate the kinematics and stability. However, it has some drawbacks such as additional incisions and radiation exposure, potential errors during preoperative planning and operation, and higher cost and longer surgery time compared to conventional surgery. Studies have shown that the clinical outcomes do not justify the added expenses and invasiveness.

JOURNAL OF ISAKOS JOINT DISORDERS & ORTHOPAEDIC SPORTS MEDICINE (2023)

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Article Surgery

Feasibility and accuracy of orthopaedic surgical robot system for intraoperative navigation to locate bone tunnel in anterior cruciate ligament reconstruction

Guocheng Ding et al.

Summary: This study examined the accuracy of bone tunnel positioning in ACL reconstruction surgery using the TiRobot surgical robot, finding that the TiRobot was more accurate in positioning the femoral and tibial tunnels compared to traditional surgical techniques.

INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY (2022)

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Article Orthopedics

Predicting Anterior Cruciate Ligament Reconstruction Revision A Machine Learning Analysis Utilizing the Norwegian Knee Ligament Register

R. Kyle Martin et al.

Summary: Machine learning analysis of the Norwegian Knee Ligament Register can predict the risk of ACL reconstruction revision with moderate accuracy. An in-clinic calculator has been developed based on this analysis to estimate the risk at a patient-specific level.

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME (2022)

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Article Orthopedics

More anatomic tunnel placement for anterior cruciate ligament reconstruction by surgeons with high volume compared to low volume

Jonathan D. Hughes et al.

Summary: The study compared the placement of femoral and tibial tunnels during ACLR between high-volume and low-volume surgeons. It was found that low-volume surgeons placed their femoral tunnels more anterior and proximal, while placing their tibial tunnels more posterior, compared to high-volume surgeons.

KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY (2022)

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Article Orthopedics

Non-anatomic tunnel position increases the risk of revision anterior cruciate ligament reconstruction

Kevin J. Byrne et al.

Summary: This study found that non-anatomic placement of the femoral tunnel during ACL reconstruction is an independent risk factor for the need of revision surgery. Surgeons should focus on achieving an individualized, anatomic primary ACL reconstruction to reduce the risk of ACL revision surgery.

KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY (2022)

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Article Orthopedics

Returning to Activity After Anterior Cruciate Ligament Revision Surgery: An Analysis of the Multicenter Anterior Cruciate Ligament Revision Study (MARS) Cohort at 2 Years Postoperative

John P. Bigouette et al.

Summary: Patients with ACL revision reconstruction report lower outcome scores compared to those who underwent primary ACL reconstruction. Return to activity is associated with improved outcomes and varies by sports participation level. Higher level athletes have better outcomes compared to recreational participants.

AMERICAN JOURNAL OF SPORTS MEDICINE (2022)

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Article Orthopedics

Revision ACL reconstruction has higher incidence of 30-day hospital readmission, reoperation, and surgical complications relative to primary procedures

Jeremy S. Marx et al.

Summary: Despite significant improvements in ACL reconstructive surgery, graft failure remains a serious complication for some patients, especially in revision procedures. This study aimed to determine the incidence of short-term complications following primary and revision ACL reconstruction, as well as comparing trends in operative length and reimbursement between the two groups. The results showed that revision ACL procedures had higher rates of poor 30-day outcomes and were associated with higher ASA scores, indicating a greater risk for complications in these patients. Additionally, the study found that the current RVU system undervalues revision ACL procedures, despite the increased operative time and complexity involved.

KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY (2022)

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Article Orthopedics

Computer-assisted navigation in ACL reconstruction improves anatomic tunnel placement with similar clinical outcomes

Wayne Yong Xiang Foo et al.

Summary: This study aimed to evaluate the potential benefits of navigated ACL reconstruction on tunnel placement and clinical outcomes. The results showed that navigated ACL reconstruction resulted in more anatomic femoral tunnel placement and similar clinical outcomes as conventional reconstruction.

KNEE (2022)

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Article Radiology, Nuclear Medicine & Medical Imaging

Posttreatment Imaging of the Knee: Cruciate Ligaments and Menisci

Andreas Heuck et al.

Summary: Cruciate ligament reconstruction and meniscal surgery play a crucial role in restoring knee joint stability and function and preventing secondary osteoarthritis. Imaging evaluation is necessary for patients with post-surgical symptoms. Understanding surgical techniques, normal post-treatment imaging findings, and patterns of recurrent lesions and complications is essential for proper assessment of grafts and postoperative meniscus.

SEMINARS IN MUSCULOSKELETAL RADIOLOGY (2022)

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Article Orthopedics

An Increasing Trend in the Number of Anterior Cruciate Ligament Reconstruction in Korea: A Nationwide

Kyu Sung Chung et al.

Summary: The total number and incidence of ACLR procedures in Korea increased from 10,248 and 21.8 in 2008 to 14,500 and 29.1 in 2016, with a 33.5% rise in incidence over the 9-year period. ACLR was more common in males than females, but the growth rate was higher in females. Patients in their 20s were the most frequent recipients of ACLR, followed by those in their 30s, 40s, and teens. The most common concomitant procedures during ACLR were meniscectomy and meniscal repair.

CLINICS IN ORTHOPEDIC SURGERY (2022)

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Article Mathematical & Computational Biology

Risk-of-bias VISualization (robvis): An R package and Shiny web app for visualizing risk-of-bias assessments

Luke A. McGuinness et al.

Summary: Despite the availability of numerous software options for evidence synthesis, there is currently no universal tool for generating figures to display and explore risk-of-bias assessments. However, tools such as the R programming environment and Shiny have made it easy to create new tools for producing evidence syntheses. The new tool robvis facilitates the rapid production of publication-quality risk-of-bias assessment figures and is available as an R package and web app.

RESEARCH SYNTHESIS METHODS (2021)

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Article Computer Science, Interdisciplinary Applications

Augmented reality navigation for minimally invasive knee surgery using enhanced arthroscopy

Fang Chen et al.

Summary: A novel in-situ augmented reality navigation system was proposed to enhance arthroscopic information and provide global in-situ information and detailed anatomical information for minimally invasive knee surgery. Experimental results showed high accuracy and reduced targeting errors compared to traditional 2D arthroscopic navigation.

COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE (2021)

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Review Orthopedics

Revision ACL Reconstruction: Principles and Practice

Sachin Tapasvi et al.

Summary: Revision ACL reconstruction is a complex procedure that requires detailed preoperative assessment and consideration of various factors contributing to ACL failure. Autografts are preferred in revision surgeries due to lower re-tear rates and better outcomes. Patient expectations must be managed as functional outcomes and return to pre-injury sports may be inferior to primary ACL surgery.

INDIAN JOURNAL OF ORTHOPAEDICS (2021)

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Review Biotechnology & Applied Microbiology

Preoperative Planning Using 3D Printing Technology in Orthopedic Surgery

Dereje Gobena Alemayehu et al.

Summary: The applications of 3D printing technology in healthcare, especially in orthopedics, have greatly expanded, providing valuable support for surgeons in preoperative planning, surgical simulation, and the development of patient-specific implants and instruments.

BIOMED RESEARCH INTERNATIONAL (2021)

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Review Sport Sciences

A Systematic Review of Risk Factors for Anterior Cruciate Ligament Reconstruction Failure

Xianyue Shen et al.

Summary: This study conducted a systematic review of risk factors for anterior cruciate ligament reconstruction failure, including technical factors, patient-related factors, and factors associated with the status of the knee joint. Emphasis is placed on avoiding high-risk combinations or correcting modifiable risk factors during preoperative planning to reduce the rate of graft rupture and anterior cruciate ligament reconstruction failure.

INTERNATIONAL JOURNAL OF SPORTS MEDICINE (2021)

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Article Orthopedics

Application of Machine Learning Algorithms to Predict Clinically Meaningful Improvement After Arthroscopic Anterior Cruciate Ligament Reconstruction

Kyle N. Kunze et al.

Summary: By studying 442 ACLR patients, it was found that variables such as body mass index, medial collateral ligament examination, femoral tunnel fixation method, previous contralateral knee surgery history, and preoperative knee extension were key predictors of achieving the MCID. The ENPLR algorithm demonstrated the best performance in predicting patients' propensity to achieve the MCID on the IKDC score after ACLR.

ORTHOPAEDIC JOURNAL OF SPORTS MEDICINE (2021)

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Review Medicine, General & Internal

The PRISMA 2020 statement: an updated guideline for reporting systematic reviews

Matthew J. Page et al.

Summary: The PRISMA statement was designed to help systematic reviewers transparently report the purpose, methods, and findings of their reviews. The updated PRISMA 2020 statement includes new reporting guidance, a 27-item checklist, an abstract checklist, and revised flow diagrams for reviews.

BMJ-BRITISH MEDICAL JOURNAL (2021)

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Review Computer Science, Information Systems

The Future of Endoscopic Navigation: A Review of Advanced Endoscopic Vision Technology

Zuoming Fu et al.

Summary: Minimally invasive medicine is crucial in clinical settings, with endoscopic navigation systems being a research hot spot. Endoscopes play a critical role in disease diagnosis and treatment, and the development of endoscopic vision technologies has further driven the advancement of endoscopic navigation systems.

IEEE ACCESS (2021)

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Review Orthopedics

Anatomic ACL reconstruction reduces risk of post-traumatic osteoarthritis: a systematic review with minimum 10-year follow-up

Benjamin B. Rothrauff et al.

KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY (2020)

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Article Radiology, Nuclear Medicine & Medical Imaging

Evaluation of a novel lower radiation computed tomography protocol for assessment of tunnel position post anterior cruciate ligament reconstruction

Varun Vasudeva et al.

BMC MEDICAL IMAGING (2020)

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Article Oncology

The use of a 3D-printed individualized navigation template to assist in the anatomical reconstruction surgery of the anterior cruciate ligament

Dejian Liu et al.

ANNALS OF TRANSLATIONAL MEDICINE (2020)

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Review Orthopedics

Anatomical anterior cruciate ligament reconstruction (ACLR) results in fewer rates of atraumatic graft rupture, and higher rates of rotatory knee stability: a meta-analysis

Yousif Eliya et al.

JOURNAL OF ISAKOS JOINT DISORDERS & ORTHOPAEDIC SPORTS MEDICINE (2020)

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Article Orthopedics

Femoral Tunnel Placement Analysis in ACL Reconstruction Through Use of a Novel 3-Dimensional Reference With Biplanar Stereoradiographic Imaging

Julien Montreuil et al.

ORTHOPAEDIC JOURNAL OF SPORTS MEDICINE (2020)

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Article Orthopedics

Three-Dimensional Magnetic Resonance Imaging for Guiding Tibial and Femoral Tunnel Position in Anterior Cruciate Ligament Reconstruction: A Cadaveric Study

Yousef Marwan et al.

ORTHOPAEDIC JOURNAL OF SPORTS MEDICINE (2020)

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Review Orthopedics

Revision Anterior Cruciate Ligament Reconstruction Outcomes at a Minimum of 5-Year Follow-Up: A Systematic Review

Rick W. Wright et al.

JOURNAL OF KNEE SURGERY (2019)

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Article Orthopedics

Is intraoperative fluoroscopy necessary in anterior cruciate ligament double-bundle reconstruction? A prospective randomized controlled trial

Ji Hyun Ahn et al.

ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH (2019)

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Article Medicine, General & Internal

RoB 2: a revised tool for assessing risk of bias in randomised trials

Jonathan A. C. Sterne et al.

BMJ-BRITISH MEDICAL JOURNAL (2019)

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Article Orthopedics

Plain radiographs can be used for routine assessment of ACL reconstruction tunnel position with three-dimensional imaging reserved for research and revision surgery

Jonathan David Kosy et al.

KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY (2018)

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Article Orthopedics

Ten-Year Outcomes and Risk Factors After Anterior Cruciate Ligament Reconstruction A MOON Longitudinal Prospective Cohort Study

Kurt P. Spindler et al.

AMERICAN JOURNAL OF SPORTS MEDICINE (2018)

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Article Orthopedics

Tibial tunnel placement in anatomic anterior cruciate ligament reconstruction: a comparison study of outcomes between patient-specific drill template versus conventional arthroscopic techniques

Meisong Zhu et al.

ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY (2018)

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Article Orthopedics

Preoperative Short Form Health Survey Score Is Predictive of Return to Play and Minimal Clinically Important Difference at a Minimum 2-Year Follow-up After Anterior Cruciate Ligament Reconstruction

Benedict U. Nwachukwu et al.

AMERICAN JOURNAL OF SPORTS MEDICINE (2017)

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Article Engineering, Biomedical

Improved accuracy of 3D-printed navigational template during complicated tibial plateau fracture surgery

Huajun Huang et al.

AUSTRALASIAN PHYSICAL & ENGINEERING SCIENCES IN MEDICINE (2015)

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Article Orthopedics

Measurements of tunnel placements after anterior cruciate ligament reconstruction - A comparison between CT, radiographs and MM

Anagha P. Parkar et al.

KNEE (2015)

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Article Orthopedics

Computer-assisted navigation in ACL reconstruction is attractive but not yet cost efficient

Jennifer Margier et al.

KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY (2015)

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Article Orthopedics

Reliability of 3D localisation of ACL attachments on MRI: comparison using multi-planar 2D versus high-resolution 3D base sequences

Vimarsha Gopal Swami et al.

KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY (2015)

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Review Medicine, General & Internal

Computer-assisted surgery for knee ligament reconstruction

Vincent Eggerding et al.

COCHRANE DATABASE OF SYSTEMATIC REVIEWS (2014)

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Editorial Material Orthopedics

Evidence to Support the Interpretation and Use of the Anatomic Anterior Cruciate Ligament Reconstruction Checklist

Carola F. van Eck et al.

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME (2013)

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Article Orthopedics

Variations in the three-dimensional location and orientation of the ACL in healthy subjects relative to patients after transtibial ACL reconstruction

Sean F. Scanlan et al.

JOURNAL OF ORTHOPAEDIC RESEARCH (2012)

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Review Orthopedics

Does computer navigation system really improve early clinical outcomes after anterior cruciate ligament reconstruction? A meta-analysis and systematic review of randomized controlled trials

Tao Cheng et al.

KNEE (2012)

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Article Orthopedics

The accuracy of bone tunnel position using fluoroscopic-based navigation system in anterior cruciate ligament reconstruction

Yohei Kawakami et al.

KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY (2012)

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Article Orthopedics

Evaluation of a computer-assisted navigation system for anterior cruciate ligament reconstruction: Prospective non-randomized cohort study versus conventional surgery

S. Plaweski et al.

ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH (2012)

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Article Medical Laboratory Technology

Interrater reliability: the kappa statistic

Mary L. McHugh

BIOCHEMIA MEDICA (2012)

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Article Orthopedics

Tunnel positioning in anterior cruciate ligament reconstruction: how long is the learning curve?

Erik Hohmann et al.

KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY (2010)

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Article Orthopedics

Anterior Cruciate Ligament Reconstruction With and Without Computer Navigation: A Clinical and Magnetic Resonance Imaging Evaluation 2 Years After Surgery

Dominick Endele et al.

ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY (2009)

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Article Orthopedics

Outcomes after conventional versus computer-navigated anterior cruciate ligament reconstruction

Radek Hart et al.

ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY (2008)

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Article Orthopedics

Comparative study of knee anterior cruciate ligament reconstruction with or without fluoroscopic assistance: a prospective study of 73 cases

Julien Chouteau et al.

ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY (2008)

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Article Orthopedics

Anterior cruciate ligament reconstruction using navigation - A comparative study on 60 patients

S Plaweski et al.

AMERICAN JOURNAL OF SPORTS MEDICINE (2006)

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Article Orthopedics

Endoscopic anterior cruciate ligament reconstruction using a computer-assisted fluoroscopic navigation system

H Hiraoka et al.

JOURNAL OF ORTHOPAEDIC SCIENCE (2006)

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Article Orthopedics

Postoperative evaluation of femoral tunnel position in ACL reconstruction: plain radiography versus computed tomography

C Hoser et al.

KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY (2005)

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Article Surgery

Methodological index for non-randomized studies (MINORS):: Development and validation of a new instrument

K Slim et al.

ANZ JOURNAL OF SURGERY (2003)

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Technology-assisted anterior cruciate ligament reconstruction improves tunnel placement but leads to no change in clinical outcomes: a systematic review and meta-analysis

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