2016
DOI: 10.2174/1874325001610010481
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Comparing Transtibial and Anteromedial Drilling Techniques for Single-bundle Anterior Cruciate Ligament Reconstruction

Abstract: Background:Among the many factors that determine the outcome following anterior cruciate ligament (ACL) reconstruction, the position of the femoral tunnel is known to be critically important and is still the subject of extensive research.Objective:We aimed to retrospectively compare the outcomes of arthroscopic ACL reconstruction using transtibial (TT) or anteromedial (AMP) drilling techniques for femoral tunnel placement.Methods:ACL reconstruction was performed using the TT technique in 49 patients and the AM… Show more

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Cited by 13 publications
(18 citation statements)
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“…However, deep-knee bending is required when creating the femoral tunnel using this method, and insufficient femoral tunnel length and iatrogenic femoral chondral tear are potential complications. 36,56,64,67,82,91 The transtibial technique is the most traditional technique used to create the femoral ACL tunnel. Although, there is no need to worry about the iatrogenic problems that are potential complica-tions in the transportal technique, it is relatively demanding to reach the center of the native ACL footprint using this technique.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…However, deep-knee bending is required when creating the femoral tunnel using this method, and insufficient femoral tunnel length and iatrogenic femoral chondral tear are potential complications. 36,56,64,67,82,91 The transtibial technique is the most traditional technique used to create the femoral ACL tunnel. Although, there is no need to worry about the iatrogenic problems that are potential complica-tions in the transportal technique, it is relatively demanding to reach the center of the native ACL footprint using this technique.…”
Section: Discussionmentioning
confidence: 99%
“…Although, there is no need to worry about the iatrogenic problems that are potential complica-tions in the transportal technique, it is relatively demanding to reach the center of the native ACL footprint using this technique. 35,37,72,78,79,82,87 In the outside-in technique, no restrictions exist for femoral tunnel placement. However, special devices such as a backward drill are required, and a femoral incision is needed.…”
Section: Discussionmentioning
confidence: 99%
“…The TT technique for femoral tunnel placement offers a less technically demanding method for femoral tunnel placement via improved visualization (knee at 90°), decreased operative time, surgeon familiarity, and lack of need for an assistant but often results in a nonanatomic femoral tunnel, which can lead to graft failures. 10 , 12 , 13 , 15 , 16 , 17 An ideal method for creation of the femoral tunnel combines the benefits of both methods and minimizes the negatives of each technique. The authors feel that the Pathfinder guide affords the ease of use of the TT technique while also providing the more anatomic placement of the AM portal technique, yet without the previously mentioned negatives associated with the AM portal technique.…”
Section: Discussionmentioning
confidence: 99%
“…However, this approach can limit the accuracy of femoral tunnel placement, and failure of the reconstruction may be influenced most by inaccurate tunnel placement [2, 3]. The anteromedial portal (AMP) approach is becoming more popular as femoral tunnel placement is not limited by the tibial tunnel, resulting in easier and potentially more accurate location of the femoral tunnel in the ACL anatomical footprint [47]. Differences have been shown in femoral tunnel location between AMP and TT methods in previous retrospective studies [5, 810].…”
Section: Introductionmentioning
confidence: 99%