Comparative Analysis of Femoral Tunnels Between Outside-In and Transtibial Double-Bundle Anterior Cruciate Ligament Reconstruction: A 3-Dimensional Computed Tomography Study

Lee, Yong Seuk; Sim, Jae Ang; Kwak, Ji Hoon; Nam, Shin Woo; Kim, Kwang Hee; Lee, Beom Koo

doi:10.1016/j.arthro.2012.03.017

Cited by 25 publications

(37 citation statements)

References 27 publications

(48 reference statements)

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“…5,[22][23][24] The TightRope device is included among cortical suspension devices and has acceptable biomechanical properties. [25][26][27] This device is commonly used with a FlipCutter during outside-in femoral drilling; the FlipCutter has been newly devised and achieves the least invasive bone-sparing reconstructive procedures.…”

Section: Discussionmentioning

confidence: 99%

Creation of an Anatomic Femoral Tunnel With Minimal Damage to the Remnant Bundle in Remnant-Preserving Anterior Cruciate Ligament Reconstruction Using an Outside-In Technique

Ahn

Lee

2014

Arthroscopy Techniques

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We established a method for creation of an anatomic femoral tunnel with minimal damage to the remnant bundle in remnant-preserving anterior cruciate ligament (ACL) reconstruction. The goals of this surgical technique were to preserve the remnant bundle as much as possible, especially at the femoral insertion, and to make the tunnel at the anatomic position. The critical points are that the posterior side of the femoral footprint of the ACL is observed through the posterolateral portal using a 70 arthroscope and a femoral tunnel is made by use of an outside-in technique with remnant preservation. This technique allows for easy viewing of the posterior side of the ACL and enables performance of an anatomic ACL reconstruction.

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Section: Discussionmentioning

confidence: 99%

Creation of an Anatomic Femoral Tunnel With Minimal Damage to the Remnant Bundle in Remnant-Preserving Anterior Cruciate Ligament Reconstruction Using an Outside-In Technique

Ahn

Lee

2014

Arthroscopy Techniques

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“…Previous studies have shown that a more anatomic placement will lead to more normal knee kinematics in both anterior-to-posterior translation and rotation [3][4][5]. Better, more anatomic placement of the femoral tunnel is possible with independent femoral drilling techniques from the tibial tunnel such as the transportal (TP) technique and outside-in (OI) technique [6,7]. Presently, advances have been made in bone-sparing OI retro-reaming techniques.…”

Section: Introductionmentioning

confidence: 97%

Graft bending angle is correlated with femoral intraosseous graft signal intensity in anterior cruciate ligament reconstruction using the outside-in technique

et al. 2016

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“…footprint 16,19,20 and closer mimicry of the native ligament 17 compared with traditional transtibial techniques.…”

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confidence: 95%

Eccentric Graft Positioning Within the Femoral Tunnel Aperture in Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction Using the Transportal and Outside-In Techniques

et al. 2015

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The grafts did not fill the tunnel aperture area in either group, and the centers of the grafts differed slightly from the centers of the tunnel apertures. The finding of eccentric graft positioning in the tunnel with condensation in a particular direction in each technique might suggest the necessity of an underreamed femoral tunnel for graft. In addition, it may be useful to standardize the starting position of the femoral tunnel according to anatomic landmarks.

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Comparative Analysis of Femoral Tunnels Between Outside-In and Transtibial Double-Bundle Anterior Cruciate Ligament Reconstruction: A 3-Dimensional Computed Tomography Study

Cited by 25 publications

References 27 publications

Creation of an Anatomic Femoral Tunnel With Minimal Damage to the Remnant Bundle in Remnant-Preserving Anterior Cruciate Ligament Reconstruction Using an Outside-In Technique

Creation of an Anatomic Femoral Tunnel With Minimal Damage to the Remnant Bundle in Remnant-Preserving Anterior Cruciate Ligament Reconstruction Using an Outside-In Technique

Graft bending angle is correlated with femoral intraosseous graft signal intensity in anterior cruciate ligament reconstruction using the outside-in technique

Eccentric Graft Positioning Within the Femoral Tunnel Aperture in Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction Using the Transportal and Outside-In Techniques

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