Comput. Aided Surg. - Double-bundle ACL reconstruction: novice surgeons utilizing computer-assisted navigation versus experienced surgeons.

Tópicos

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Resumo

RPOSE: Anatomic double-bundle ACL reconstruction presents a unique technical challenge for surgeons, requiring precise placement of multiple tunnels in a relatively small area. As the necessity of anatomic reconstruction has been stressed throughout the literature, developing a method to consistently improve the accuracy and precision of tunnel placement is essential. We aimed to investigate whether computer-assisted navigation allows novice surgeons to place double-bundle ACL tunnels with a similar degree of accuracy to experienced surgeons operating without computer assistance.METHODS: A novice surgeon group comprising three medical students performed double-bundle ACL reconstruction using passive computer-assisted navigation in 11 cadaver knees. Their individual results were compared to those of three experienced orthopaedic surgeons, each performing the identical procedure without the use of computer-assisted navigation in 9 cadaver knees.RESULTS AND CONCLUSION: There were no significant differences in placement of either the AM or PL tunnels on the tibial plateau between the novice surgeons using computer-assisted navigation and the experienced surgeons. However, on the lateral femoral condyle, the novice surgeons placed the AM and PL tunnels significantly more anterior along Blumensaat's line, on average, compared to the experienced surgeons.

Resumo Limpo

rpose anatom doublebundl acl reconstruct present uniqu technic challeng surgeon requir precis placement multipl tunnel relat small area necess anatom reconstruct stress throughout literatur develop method consist improv accuraci precis tunnel placement essenti aim investig whether computerassist navig allow novic surgeon place doublebundl acl tunnel similar degre accuraci experienc surgeon oper without comput assistancemethod novic surgeon group compris three medic student perform doublebundl acl reconstruct use passiv computerassist navig cadav knee individu result compar three experienc orthopaed surgeon perform ident procedur without use computerassist navig cadav kneesresult conclus signific differ placement either pl tunnel tibial plateau novic surgeon use computerassist navig experienc surgeon howev later femor condyl novic surgeon place pl tunnel signific anterior along blumensaat line averag compar experienc surgeon

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