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Significant race and gender differences in anterior cruciate ligament tibial footprint location: a 3D-based analysis

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资源类型：
Pubmed体系：
作者：
Zhang Lihang[1] * ; Li Changzhao[1] * ; Zhang Jiaying[2] * ; Zou Diyang[3,4,5] ; Dimitriou Dimitris[6] ; Xing Xing[7,8] ; Tsai Tsung-Yuan[3,4,5] ; Li Pingyue[1] ;
机构： [1]Guangdong Key Lab of Orthopedic Technology and Implant, General Hospital of Southern Theater Command of PLA,The First School of Clinical Medicine, Southern Medical University, Guangzhou, China. [2]Department of Graduate School, Guangzhou University of Chinese Medicine, Guangzhou, China. [3]School of Biomedical Engineering and Med-X Research Institute, Shanghai Jiao Tong University, Shanghai, China. [4]Engineering Research Center of Digital Medicine and Clinical Translation, Ministry of Education, Shanghai, China. [5]Shanghai Key Laboratory of Orthopedic Implants and Clinical Translational R&D Center of 3D Printing Technology, Department of Orthopedic Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. [6]Department of Orthopedics, University Hospital Balgrist, Zurich, Switzerland. [7]Department of Biostatistics, Bioinformatics and Biomathematics, Georgetown University, N.W. Washington, DC, USA. [8]Department of Social Medicine and Health Management, School of Public Health, Peking University, Beijing, People's Republic of China
出处：
DOI： 10.1186/s10195-023-00710-w
ISSN：

关键词： Anterior cruciate ligament Ethnicity Gender Tibial attachment Single-bundle reconstruction Landmarks Iatrogenic injury

摘要：
The aim of the present study was to identify potential race- or gender-specific differences in anterior cruciate ligament (ACL) tibial footprint location from the tibia anatomical coordinate system (tACS) origin, investigate the distances from the tibial footprint to the anterior root of the lateral meniscus (ARLM) and the medial tibial spine (MTS), determine how reliable the ARLM and MTS can be in locating the ACL tibial footprint, and assess the risk of iatrogenic ARLM injuries caused by using reamers with various diameters (7-10 mm).Magnetic resonance images of 91 Chinese and 91 Caucasian subjects were used for the reconstruction of three-dimensional (3D) tibial and ACL tibial footprint models. The anatomical coordinate system was applied to reflect the anatomical locations of scanned samples.The average anteroposterior (A/P) tibial footprint location was 17.1 ± 2.3 mm and 20.0 ± 3.4 mm in Chinese and Caucasians, respectively (P < .001). The average mediolateral (M/L) tibial footprint location was 34.2 ± 2.4 mm and 37.4 ± 3.6 mm in Chinese and Caucasians, respectively (P < .001). The average difference between men and women was 2 mm in Chinese and 3.1 mm in Caucasians. The safe zone for tibial tunnel reaming to avoid ARLM injury was 2.2 mm and 1.9 mm away from the central tibial footprint in the Chinese and Caucasians, respectively. The probability of damaging the ARLM by using reamers with various diameters ranged from 0% for Chinese males with a 7 mm reamer to 30% in Caucasian females with a 10 mm reamer.The significant race- and gender-specific differences in the ACL tibial footprint should be taken in consideration during anatomic ACL reconstruction. The ARLM and MTS are reliable intraoperative landmarks for identifying the tibial ACL footprint. Caucasians and females might be more prone to iatrogenic ARLM injury.III, cohort study.This study has been approved by the ethical research committee of the General Hospital of Southern Theater Command of PLA under the code: [2019] No.10.© 2023. The Author(s).

基金：
National Natural Science Foundation of China (grant number 81871808), Military Project of Application Fundamentals (grant numbers CLB21J021, 20QNPY084, CLB18J037 and 21FYFH06). Pudong New Area Science & Technology Development Fund [210H1147900], National Natural Science Foundation of China [31972924], Technical Standard Project of “Science and Technology Innovation Action Plan” of Science and Technology Commission of Shanghai Municipality [22S31906000, 21DZ2208200], the Fundamental Research Funds for the Central Universities [AF0820060].
语种：
外文
PubmedID：
中科院(CAS)分区：
出版当年[2022]版：
大类 | 2 区 医学
小类 | 2 区 骨科
最新[2025]版：
大类 | 2 区 医学
小类 | 2 区 骨科
第一作者：
第一作者机构： [1]Guangdong Key Lab of Orthopedic Technology and Implant, General Hospital of Southern Theater Command of PLA,The First School of Clinical Medicine, Southern Medical University, Guangzhou, China.
共同第一作者：
通讯作者：
通讯机构： [3]School of Biomedical Engineering and Med-X Research Institute, Shanghai Jiao Tong University, Shanghai, China. [4]Engineering Research Center of Digital Medicine and Clinical Translation, Ministry of Education, Shanghai, China. [5]Shanghai Key Laboratory of Orthopedic Implants and Clinical Translational R&D Center of 3D Printing Technology, Department of Orthopedic Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
推荐引用方式(GB/T 7714)：
Zhang Lihang,Li Changzhao,Zhang Jiaying,et al.Significant race and gender differences in anterior cruciate ligament tibial footprint location: a 3D-based analysis[J].Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology.2023,24(1):33.doi:10.1186/s10195-023-00710-w.
APA：
Zhang Lihang,Li Changzhao,Zhang Jiaying,Zou Diyang,Dimitriou Dimitris...&Li Pingyue.(2023).Significant race and gender differences in anterior cruciate ligament tibial footprint location: a 3D-based analysis.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology,24,(1)
MLA：
Zhang Lihang,et al."Significant race and gender differences in anterior cruciate ligament tibial footprint location: a 3D-based analysis".Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology 24..1(2023):33

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