The DOI matches its Crossref record; 25 of the 25 references it cites were found in a registry or an index.
Effect of tibial drill-guide angle on the mechanical environment at bone tunnel aperture after anatomic single-bundle anterior cruciate ligament reconstruction
Open accessAbstract
Purpose The tibial drill-guide angle in anterior cruciate ligament (ACL) reconstruction influences the tunnel placement and graft-tunnel force, and is potentially associated with post-operative tunnel widening. This study aimed to examine the effect of the drill-guide angle on the stress redistribution at the tibial tunnel aperture after anatomic single-bundle ACL reconstruction.Methods A validated finite element model of human knee joint was used. The tibial tunnel with drill-guide angle ranging from 30° to 75° was investigated. The post-operative stress redistribution in tibia under the compressive, valgus, rotational and complex loadings was analysed.Results Compressive loading played a leading role on the stress redistribution at intra-articular tibial tunnel aperture. After ACL reconstruction, stress concentration occurred in the anterior and posterior regions of tunnel aperture while stress reduction occurred in the lateral and posteromedial regions under the compressive loading. Stress redistribution was partially alleviated by using the drill-guide angle ranging from 55° to 65°.Conclusions The present study quantified the effect of bone tunnel drill-guide angle on the post-operative stress redistribution. This phenomenon potentially contributed to tunnel widening. A tunnel drill-guide angle ranging from 55° to 65° was proposed based on the biomechanical rationale. It could serve as a helpful surgical guide for ACL reconstruction.
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Tunnel orientation might influence tunnel enlargement and graft failure.
“Few studies demonstrated that tunnel orientation might influence tunnel enlargement and graft failure (Jagodzinski et al., 2005; Yao et al., 2014).”
From The Femoral Tunnel Drilling Angle at 45° Coronal and 45° Sagittal Provided the Lowest Peak Stress and Strain on the Bone Tunnels and Anterior Cruciate Ligament Graft (2021) · cites this paper as Yao et al., 2014
The Introduction (page unavailable) links drill-guide angle and tunnel orientation to stress changes that may predispose the tunnel to widening. It also says tunnel widening can reduce graft-bone fixation strength, but the paper does not establish that orientation influences graft failure; the Discussion (page unavailable) says the direct relationship between drill-guide angle and surgical outcome has not been established. (LLM, conf=0.86)
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Cheng, R., Wang, H., Jiang, Z., Dimitriou, D., Cheng, C.-K., & Tsai, T.-Y. (2021) · Frontiers in Bioengineering and Biotechnology · doi:10.3389/fbioe.2021.797389 · Cited by 20
“(Yao et al., 2014) quantified the effects of tibial tunnel drill-guide angle on the stress redistribution at the tibial tunnel aperture after ACLR, which potentially contributed to the tibial tunnel widening.”
BackgroundMethodInfluential
Metadata
- Authors
- Yao, J., Wen, C. Y., Zhang, M., Cheung, J. T.-M., Yan, C., Chiu, K.-Y., Lu, W. W., & Fan, Y.
- Affiliations
- Beihang University (CN)
- University of Hong Kong (HK)
- Hong Kong Polytechnic University (HK)
- Chinese Academy of Sciences (CN)
- Corresponding author
- Lu, William Weijia
- Fan, Yubo
- Venue
- International Orthopaedics
- Published
- 2014-02-25
- Volume
- 38
- Issue
- 5
- Pages
- 973-981
- ISSN
- 0341-2695 (ISSN-L)
- 1432-5195
- PMC
- PMC3997784
- OpenAlex
- W2004187751
- Cited by
- 20
- References
- 25
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 1 · 2023: 1 · 2022: 3 · 2021: 4 · 2020: 2 · 2018: 1 · 2015: 2 · 2014: 1
- FWCI
- 0.99
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- International Orthopaedics (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- The HKU Scholars Hub (University of Hong Kong) (submittedVersion)
- PolyU Institutional Research Archive (Hong Kong Polytechnic University) (submittedVersion)
- Funders
- National Natural Science Foundation of China (11120101001, 2012BAI22B02, 81270967, 10925208)
- Topics
- Health Sciences › Medicine › Surgery › Knee injuries and reconstruction techniques
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Foot and Ankle Surgery
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Tendon Structure and Treatment
- Keywords
- anterior cruciate ligament reconstruction, stress redistribution, tunnel widening, knee biomechanics
- MeSH terms
- Adult, Biomechanical Phenomena, Humans, Male, Stress, Mechanical, Tibia, Anterior Cruciate Ligament Reconstruction
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