Notch-referenced mediolateral verification of tibial tunnel position in anterior cruciate ligament reconstruction: a 3D imaging validation study - Summary - MDSpire
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Three-Dimensional Imaging Validation of a Notch-Based Method for Assessing Mediolateral Tibial Tunnel Placement in Anterior Cruciate Ligament Reconstruction

  • By

  • Vu Tu Nam

  • Vu Duc Thang

  • Le Duc Huy

  • Luu Huu Phuc

  • Luong Nhat Anh

  • Le Duc Thinh

  • Chu Hoang Long

  • Nguyen Ngoc Huyen

  • Nguyen Duc Trung

  • Ta Van Thanh Nam

  • Ho Ngoc Minh

  • Tran Trung Dung

  • October 13, 2026

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Objective:

To assess whether Notch-Referenced Mediolateral (NRML) verification accurately positions the tibial tunnel center relative to the patient-specific native ACL tibial footprint center.

Approach:
  • Design and participants: Single-institution retrospective cross-sectional study of adults undergoing primary ACL reconstruction with a standardized all-inside, single-bundle technique and NRML verification from January 2024 through December 2025.
  • Imaging comparison: Compared the tibial tunnel center on postoperative 3D CT with the native tibial footprint center measured on preoperative 3D MRI.
  • Sample size: The planned sample size was approximately 62, based on a one-sample precision calculation.
Key Findings:
  • The provided context describes the study rationale, objective, and methods but does not report participant numbers, measurement results, or statistical findings.
Interpretation:

The study was designed to validate an intraoperative notch-based visual reference for mediolateral tibial tunnel placement using patient-specific 3D imaging.

Limitations:
  • The supplied context ends during the surgical technique description and does not include study results or the full methods.
  • The study was retrospective, cross-sectional, and conducted at a single institution.
Sources:

Original Source(s)

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