Comparison of a New Radiographic Technique with MRI Measurements for Tibial Tunnel Evaluation in ACL Reconstruction

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dc.authoridAKAR, BEDRETTIN/0000-0001-7461-1777
dc.authoridKaraduman, Zekeriya Okan/0000-0002-6719-3666
dc.authoridArican, Mehmet/0000-0002-0649-2339
dc.authoridSaglam, Sonmez/0000-0003-2651-8003
dc.authoridDalaslan, Rasit Emin/0000-0001-5068-8024;
dc.contributor.authorYucel, Mucahid Osman
dc.contributor.authorDalaslan, Rasit Emin
dc.contributor.authorSaglam, Sonmez
dc.contributor.authorKaraduman, Zekeriya Okan
dc.contributor.authorArican, Mehmet
dc.contributor.authorAkar, Bedrettin
dc.contributor.authorTural, Volkan
dc.date.accessioned2025-10-11T20:47:48Z
dc.date.available2025-10-11T20:47:48Z
dc.date.issued2025
dc.departmentDüzce Üniversitesien_US
dc.description.abstractBackground/Objectives: The correct angular placement of the tibial tunnel is crucial to ensure graft tension, maintain knee stability, and ensure optimal clinical outcomes after anterior cruciate ligament (ACL) reconstruction. While 3D imaging methods such as MRI and CT are the gold standard for evaluating tunnel positioning, their routine use is limited by cost, availability, and time constraints. In clinical practice, 2D radiographs are more accessible but lack established reliability in accurately estimating tunnel angles. The aim of this study was to convert 2D radiographic angular measurements used in the evaluation of patients undergoing anterior cruciate ligament reconstruction into 3D values with a simple method and to compare these measurements with three-dimensional angles calculated using conventional MRI and CT. Methods: This retrospective study included 38 patients who underwent anatomic anterior cruciate ligament reconstruction. Postoperative radiographs and MR images were analyzed to determine the tibial tunnel angles. The angles calculated from 2D radiographs were statistically analyzed for their correlation with the actual 3D angles measured by MRI. Results: The analysis showed a strong correlation between tibial tunnel angles from radiographs and MRI, with minimal, non-significant differences. This suggests that radiographs can provide a reliable estimate of tibial tunnel angles. Conclusions: These findings suggest that radiographs can predict tibial tunnel angles in ACL reconstruction as accurately as MRI. This method can guide the correct tunnel angle and facilitate postoperative evaluation. Further studies are needed to confirm these results across various populations and techniques.en_US
dc.identifier.doi10.3390/diagnostics15101237
dc.identifier.issn2075-4418
dc.identifier.issue10en_US
dc.identifier.pmid40428229en_US
dc.identifier.scopus2-s2.0-105006517800en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://doi.org/10.3390/diagnostics15101237
dc.identifier.urihttps://hdl.handle.net/20.500.12684/21579
dc.identifier.volume15en_US
dc.identifier.wosWOS:001496111500001en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherMdpien_US
dc.relation.ispartofDiagnosticsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKA_WOS_20250911
dc.subjectanterior cruciate ligament reconstructionen_US
dc.subjectangle measurementen_US
dc.subjecttibia tunnelen_US
dc.subjectradiographyen_US
dc.subjectsports medicineen_US
dc.titleComparison of a New Radiographic Technique with MRI Measurements for Tibial Tunnel Evaluation in ACL Reconstructionen_US
dc.typeArticleen_US

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