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ACL Injury and Its Treatment pp 399–412Cite as

Intraoperative Biomechanical Evaluation Using a Navigation System

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Abstract

Originally, the navigation system for anterior cruciate ligament (ACL) reconstruction has been a tool for increasing the precision of surgical procedures, especially for bone tunnel placement. In addition to assisting the surgeon to decide the proper tunnel position, the navigation system has the supplementary ability to assess knee kinematics during surgery; therefore, the navigation system could be a tool to evaluate knee kinematics or laxity in ACL-deficient knees. In this article, we introduce the navigation process and also describe our intraoperative biomechanical studies using an image-free navigation system, including intraoperative kinematics changes before and after double-bundle ACL reconstruction with hamstrings graft, effect of the different ACL bundles on knee kinematics in double-bundle reconstruction, and the effect of ACL remnant on knee kinematics. Finally, we also describe the quantification of the pivot shift phenomenon using a navigation system with noninvasive surface markers.

Keywords

  • Anterior cruciate ligament (ACL)
  • ACL reconstruction
  • Navigation
  • Biomechanical evaluation
  • Knee kinematics

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Authors and Affiliations

  1. Dept. of Orthopaedic Surgery, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki, Aomori, 036-8562, Japan

    Yuji Yamamoto MD, PhD & Yasuyuki Ishibashi MD, PhD

Authors
  1. Yuji Yamamoto MD, PhD
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  2. Yasuyuki Ishibashi MD, PhD
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Corresponding author

Correspondence to Yuji Yamamoto MD, PhD .

Editor information

Editors and Affiliations

  1. Hiroshima University, Hiroshima, Hiroshima, Japan

    Mitsuo Ochi

  2. Sports Orthopaedic Center, Yukioka Hospital, Osaka, Osaka, Japan

    Konsei Shino

  3. Graduate School of Medicine, Hokkaido University , Sapporo, Japan

    Kazunori Yasuda

  4. Graduate School of Medicine, Kobe University, Kobe, Japan

    Masahiro Kurosaka

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Yamamoto, Y., Ishibashi, Y. (2016). Intraoperative Biomechanical Evaluation Using a Navigation System. In: Ochi, M., Shino, K., Yasuda, K., Kurosaka, M. (eds) ACL Injury and Its Treatment. Springer, Tokyo. https://doi.org/10.1007/978-4-431-55858-3_32

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  • DOI: https://doi.org/10.1007/978-4-431-55858-3_32

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  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-55856-9

  • Online ISBN: 978-4-431-55858-3

  • eBook Packages: MedicineMedicine (R0)

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