{"id":1429,"date":"2018-08-10T15:23:00","date_gmt":"2018-08-10T15:23:00","guid":{"rendered":"http:\/\/www.ijmhr.org\/IntJAnatRes\/?page_id=1429"},"modified":"2018-08-10T15:23:00","modified_gmt":"2018-08-10T15:23:00","slug":"ijar-2018-287","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2018-287","title":{"rendered":"IJAR.2018.287"},"content":{"rendered":"<div class=\"su-row\"><div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijar.6.3\/IJAR.2018.287.pdf\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#6b0e00;border-color:#560c00;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#98574d;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px;text-shadow:none;-moz-text-shadow:none;-webkit-text-shadow:none\"><i class=\"sui sui-cloud-download\" style=\"font-size:13px;color:#FFFFFF\"><\/i> DOWNLOAD PDF<\/span><\/a><\/div><\/div><\/div> <div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/ijmhr.org\/ijar-vol-6-3.htm\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#6b0e00;border-color:#560c00;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#98574d;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px;text-shadow:none;-moz-text-shadow:none;-webkit-text-shadow:none\"><i class=\"sui sui-book\" style=\"font-size:13px;color:#FFFFFF\"><\/i> Table of Contents<\/span><\/a><\/div><\/div><\/div><\/div>\n<h3 style=\"text-align: justify;\"><strong>Type of Article:<\/strong>\u00a0\u00a0Original Research<\/h3>\n<h3 style=\"text-align: justify;\"><strong>Volume 6; Issue 3.2 (August 2018)<\/strong><\/h3>\n<h3 style=\"text-align: justify;\"><strong>Page No.:<\/strong>\u00a05581-5586<\/h3>\n<h3 style=\"text-align: justify;\"><strong>DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijar.2018.287<\/h3>\n<h3 style=\"text-align: justify;\">THE MORPHOMETRIC STUDY OF ANTERIOR CRUCIATE LIGAMENT: A CADAVERIC STUDY<\/h3>\n<p><strong>Sakkarai Jayagandhi *<sup>1<\/sup>, \u00a0Virender Kumar Nim<sup> 2<\/sup>,<sup>\u00a0 <\/sup>M. Mohan Kumar <sup>3<\/sup>,<sup>\u00a0 <\/sup>S. Senthil Kumar <sup>4<\/sup>.<\/strong><\/p>\n<p><strong><sup>*1 <\/sup><\/strong>Assistant Professor, Department of Anatomy, Pondicherry Institute of Medical Sciences, Pondicherry, India.<\/p>\n<p><sup>*2 <\/sup>Professor, Department of Anatomy, Pondicherry Institute of Medical Sciences, Pondicherry, India.<\/p>\n<p><sup>3 <\/sup>Professor, Department Orthopaedics, Sri Ramachandra Medical College &amp; Research Institute (Deemed to be University)\u00a0 Porur \u2013 Chennai, India.<\/p>\n<p><sup>4 <\/sup>Professor, Department Anatomy, Sri Ramachandra Medical College &amp; Research institute (Deemed to be University) Porur \u2013 Chennai, India.<\/p>\n<p style=\"text-align: justify;\"><strong>Address for Correspondence:<\/strong> Sakkarai Jayagandhi, Department of Anatomy, Pondicherry Institute of Medical Sciences, Pondicherry \u2013 605014, India. Phone: +91 \u20139894257906\u00a0<strong>E-Mail:<\/strong> sjayagandhi@gamil.com<\/p>\n<p style=\"text-align: justify;\"><strong>ABSTRACT:<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>Introduction: <\/strong>The anterior cruciate ligament is frequently injured ligament of the knee. It divides into anteromedial and posterolateral budles attached into tibia and femur. This study aimed to measure the length and width of two bundles of ACL separately to observe the morphormetrical difference.\u00a0 Since single or double bundle ACL reconstructive surgical procedure are commonly used by orthopaedic surgeon, our study may help them in hamstring or tendon graft procedures.<\/p>\n<p style=\"text-align: justify;\"><strong>Material and Methods:\u00a0<\/strong>The Cadaveric study was conducted in the department of Anatomy at Pondicherry institute of Medical sciences, Pondicherry from December 2015 \u2013 May 2016. Randomly selected thirty cadaveric was included for the study and knees with ACL tear; macroscopic degenerative changes or any evidence of trauma was excluded from the study.\u00a0 We kept the knee in the angle of 30<sup>0<\/sup>, 60<sup>0\u00a0\u00a0 <\/sup>and 90<sup>0 <\/sup>flexed position and sides were identified and divided into thirteen right and seventeen left. Made an \u201cI\u201d incision on the knee and reflected the skin and ligamentum patellae, the anterior cruciate ligament were observed as anteromedial and posterolateral bundles. The position of angle knee was measured by goniometer and the length and width was measured by digital vernier caliper. The data was presented as frequencies and proportions, mean and standard deviations. Statistical significance (p value) was considered at 0.05 levels.<\/p>\n<p style=\"text-align: justify;\"><strong>Results: <\/strong>The mean and standard deviation of anteromedial bundle of anterior cruciate ligament showed in 30<sup>0 <\/sup>position of knee was 40.3\u00b11.61 and on right side of AMB (n=13) 40.87\u00b11.77 and was in left of AMB (n=17) side of knee 39.86\u00b11, In 60<sup>0 <\/sup>35.94\u00b12.37 right 36.09\u00b12.61 and left 35.82\u00b12.24, and in 90<sup>0<\/sup> position 32.27\u00b12.33 on the right side was 32.25\u00b12.25 on the left 32.28\u00b12.45. Likewise the posterolateral bundle result in 30<sup>0 <\/sup>positions was 32.07\u00b13.01 on the right side 32.33\u00b13.43 and in left side showed 31.86\u00b12.74, 60<sup>0 <\/sup>positions of PLB 28.63\u00b12.77 right side 29.23\u00b12.77 and left side 28.18\u00b12.76 and\u00a0\u00a0 90<sup>0 <\/sup>26.07\u00b12.53 right 26.56\u00b12.03 and left side 25.69\u00b12.86. There was a statistically significant increase in transverse diameter. We observed P value of transverse diameter of anteromedial bundle at tibial attchment (0.01) and (0.05) in anteroposterior diameter of posterolateral at tibial and in middle (0.04) showed a statistically significant increase in transverse diameter.<\/p>\n<p style=\"text-align: justify;\"><strong>Conclusion: <\/strong>ACL tears are managed surgically by a double bundle or single bundle ACL reconstruction technique. Recently, the anatomic double bundle ACL reconstruction has been found to be better in restoring the intact knee function compared to the conventional single bundle surgery when done perfectly. So our study of morphometric measurements of ACL can help the surgeons during accurate tendon graft procedure of anterior cruciate ligament reconstructive surgeries.<\/p>\n<p style=\"text-align: justify;\"><strong>KEY WORDS<\/strong>: Reconstruction, anteromedial bundle, posterolateral bundle, Double-bundle, ACL.<\/p>\n<p style=\"text-align: justify;\"><strong>REFERENCES<\/strong><\/p>\n<ol>\n<li style=\"text-align: justify;\">Standring S Gray\u2019s Anatomy: The Anatomical Basis of Clinical Practice. 40<sup>th<\/sup> New York:Elsvier; Churchill Livingstone. 2008:1401.<\/li>\n<li style=\"text-align: justify;\">Shen W, Jordan S, Fu F. Review article: anatomic double bundle anterior cruciate ligament reconstruction. J Orthop Surg. Hong Kong. 2007 Aug; 15(2):216\u2013221.<\/li>\n<li style=\"text-align: justify;\">Cheatham SA, Johnson DL. Anatomic revision ACL reconstruction. Sports Med Arthrosc. 2010 Mar; 18(1):33\u201339.<\/li>\n<li style=\"text-align: justify;\">Schreiber VM, van Eck CF, Fu FH. Anatomic Double-bundle ACL Reconstruction. Sports Med Arthrosc. 2010 Mar; 18(1):27\u201332.<\/li>\n<li style=\"text-align: justify;\">Saxena A, Ray B, Rajagopal KV, \u00a0D\u2019Souza AS, \u00a0Pyrtuh S. \u00a0Morphometry and magnetic resonance imaging of anterior cruciate ligament and measurement of secondary signs of anterior cruciate \u00a0\u00a0\u00a0\u00a0\u00a0 ligament tear. Bratisl Lek \u00a0 2012; 113(1):539\u2013543.<\/li>\n<li style=\"text-align: justify;\">Paterson FW, Trickey EL. Anterior cruciate ligament reconstruction using part of the patellar tendon as a free graft. J Bone Joint Surg Br. 1986 May; 68(3):453\u20137.<\/li>\n<li style=\"text-align: justify;\">Anatomy of ACL revisited- link between form and function. Available from: http:\/\/emgprddmzvip24457.dmz.upmc.com\/MediaRelations\/factsheets\/Documents\/AatomyACLRevisited.pdf.<\/li>\n<li style=\"text-align: justify;\">H, Musahl.V,\u00a0 Freddie H. Fu. The femoral insertions of the anteromedial and posterolateral bundles of the anterior cruciate ligament: a radiographic evaluation Knee. Surg Sports Traumatol Arthrosc. 2010; 18:52\u201355.<\/li>\n<li style=\"text-align: justify;\">Odensten M, Gillquist J. Functional anatomy of the anterior cruciate ligament and a rationale for reconstruction. J Bone Joint Surg Am. 1985 Feb; 67(2): 257 \u2013 262.<\/li>\n<li style=\"text-align: justify;\">Kulkamthom N, Arkasihayuth A, Charakorn K, Chaimut M, Reeboonlap N. The study of anterior cruciate ligament footprint in Thai population: a human cadaveric study. J Med Assoc Thai. 2012 Oct ; (95):167-72.<\/li>\n<li style=\"text-align: justify;\">Moghaddam AB, \u00a0Torkaman A. A Cadaver Study of the Structures and Positions of the Anterior Cruciate Ligament in Humans. Int J Prev Med. 2013 Apr; 4(Suppl 1): S85\u2013S91.<\/li>\n<li style=\"text-align: justify;\">Stijak L, Radonjic V, Nikolic V, Blagojevic Z, Aksic M, Filipovic B. Correlation between the morphometric parameters of the anterior cruciate ligament and the intercondylar width: gender and age differences. Knee Surg Sports Traumatol Arthrosc. 2009;17:812-1.<\/li>\n<\/ol>\n<p style=\"text-align: justify;\">\n\t\t\t <div class=\"promo1\" style=\"background-color:#f7f7f7; border-color: #6b0e00 #e8e6e6 #e8e6e6;\">\n             \t <span style=\"color: #800000;\"><strong>Cite this article:<\/strong><\/span> Sakkarai Jayagandhi, Virender Kumar Nim, M. Mohan Kumar, S. Senthil Kumar. THE MORPHOMETRIC STUDY OF ANTERIOR CRUCIATE LIGAMENT: A CADAVERIC STUDY. Int J Anat Res 2018;6(3.2):5581-5586.\u00a0<strong>DOI:\u00a0<\/strong>10.16965\/ijar.2018.287\u00a0 \n             <\/div>\t\n\t\t\n","protected":false},"excerpt":{"rendered":"<p>Type of Article:\u00a0\u00a0Original Research Volume 6; Issue 3.2 (August 2018) Page No.:\u00a05581-5586 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijar.2018.287 THE MORPHOMETRIC STUDY OF ANTERIOR CRUCIATE LIGAMENT: A CADAVERIC STUDY Sakkarai Jayagandhi *1, \u00a0Virender Kumar Nim 2,\u00a0 M. Mohan Kumar 3,\u00a0 S. Senthil Kumar 4. *1 Assistant Professor, Department of Anatomy, Pondicherry Institute of Medical Sciences, Pondicherry, India. *2 Professor, Department of<br \/><a class=\"moretag\" href=\"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2018-287\">+ Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/1429"}],"collection":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/comments?post=1429"}],"version-history":[{"count":1,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/1429\/revisions"}],"predecessor-version":[{"id":1464,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/1429\/revisions\/1464"}],"wp:attachment":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/media?parent=1429"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}