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Marker-Less Navigation System for Anterior Cruciate Ligament Reconstruction with 3D Femoral Analysis and Arthroscopic Guidance
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  • Update Date: 06 May 2025
  • anterior cruciate ligament reconstruction
  • computer-assisted surgery
  • arthroscopic navigation
  • femoral tunnel positioning
Video Introduction

This video is adapted from 10.3390/bioengineering12050464

Accurate femoral tunnel positioning is crucial for successful anterior cruciate ligament reconstruction (ACLR), yet traditional arthroscopic techniques face significant challenges in spatial orientation and precise anatomical localization. This study presents a novel marker-less computer-assisted navigation system that integrates three-dimensional femoral modeling with real-time arthroscopic guidance. The system employs advanced image processing techniques for accurate condyle segmentation and implements the Bernard and Hertel (BH) grid system for standardized positioning. A curvature-based feature extraction approach precisely identifies the capsular line reference (CLR) on the lateral condyle surface, forming the foundation for establishing the BH reference grid. The system’s two-stage registration framework, combining SIFT-ICP algorithms, achieves accurate alignment between preoperative models and arthroscopic views. Validation results from expert surgeons demonstrated high precision, with 71.5% of test groups achieving acceptable or excellent performance standards (mean deviation distances: 1.12–1.86 mm). Unlike existing navigation solutions, our system maintains standard surgical workflow without requiring additional surgical instruments or markers, offering an efficient and minimally invasive approach to enhance ACLR precision. This innovation bridges the gap between preoperative planning and intraoperative execution, potentially improving surgical outcomes through standardized tunnel positioning.

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Shuo, W.; Shi, W.; Yang, S.; Cui, J.; Guo, Q. Marker-Less Navigation System for Anterior Cruciate Ligament Reconstruction with 3D Femoral Analysis and Arthroscopic Guidance. Encyclopedia. Available online: https://encyclopedia.pub/video/video_detail/1600 (accessed on 05 December 2025).
Shuo W, Shi W, Yang S, Cui J, Guo Q. Marker-Less Navigation System for Anterior Cruciate Ligament Reconstruction with 3D Femoral Analysis and Arthroscopic Guidance. Encyclopedia. Available at: https://encyclopedia.pub/video/video_detail/1600. Accessed December 05, 2025.
Shuo, Wang, Weili Shi, Shuai Yang, Jiahao Cui, Qinwei Guo. "Marker-Less Navigation System for Anterior Cruciate Ligament Reconstruction with 3D Femoral Analysis and Arthroscopic Guidance" Encyclopedia, https://encyclopedia.pub/video/video_detail/1600 (accessed December 05, 2025).
Shuo, W., Shi, W., Yang, S., Cui, J., & Guo, Q. (2025, May 06). Marker-Less Navigation System for Anterior Cruciate Ligament Reconstruction with 3D Femoral Analysis and Arthroscopic Guidance. In Encyclopedia. https://encyclopedia.pub/video/video_detail/1600
Shuo, Wang, et al. "Marker-Less Navigation System for Anterior Cruciate Ligament Reconstruction with 3D Femoral Analysis and Arthroscopic Guidance." Encyclopedia. Web. 06 May, 2025.
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