the optimal surgical technique for ACL reconstruction remains unclear, ACL tibial tunnel anatomy during transtibial ACL femoral reaming in the “over-the-top”  


The ACL was reconstructed with the transtibial technique in 6 knees. In these specimens, the tibial tunnel was reamed over the K-wire with the knee in 90° of flexion.

To achieve anatomical graft placement, other surgical techniques should be considered. 2020-06-03 · Background A femoral bone tunnel in ACL reconstruction can be constructed from the outside in or from the inside out. When doing it inside out, the approach can be via the anteromedial (AM) portal or through the tibial bone tunnel. It has been suggested that better results might be expected by doing it anteromedially.

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When revising a failed prior Transtibial reconstruction, the HTT offers the ability to revise the femoral tunnel using the same tibial tunnel. We describe the hybrid transtibial ACL reconstruction technique which combines the advantages of the traditional transtibial technique and the anteromedial portal technique. This results in a more reproducible, anatomic ACL reconstruction. 2016-08-10 · Background There are two primary surgical techniques to reconstruct the anterior cruciate ligament (ACL), transtibial (TT) technique and anteromedial portal (AMP) technique. Currently, there is no consensus which surgical technique elicits the best clinical and functional outcomes.


Sebastian Kopf • Brian Forsythe  BOMBAY ORTHO INDUSTRIES - Exporter, Manufacturer, Service Provider, Supplier, Trading Company of Transtibial ACL Reconstruction based in Rajkot, India. dial and transtibial anterior cruciate ligament (ACL) tunnel preparation.

av C Fransman — främre korsbandet (ACL, anterior cruciate ligament). Individuals with Anterior Cruciate Ligament The patient with unilateral trans-tibial.

Transtibial acl

However, recent studies have shown that using the TT technique may lead to nonanatomic [ 11, 12 ], usually anteriorly positioned femoral tunnels [ 5, 10, 13, 14, 15 ]. ACL tibial tunnel anatomy during transtibial ACL femoral reaming in the “over-the-top” position with a full femoral reamer versus a half femoral reamer, in comparison to the native tibial ACL footprint. Background Anterior cruciate ligament (ACL) reconstruction using a single-bundle transtibial technique can achieve good or excellent results in more than 90% of patients, but anatomical and Abstract.

Transtibial acl

2010;34(5):747-54. 2. Kim MK, Lee   To determine the Effect of multiple instrumentation regarding bacterial contamination in transportal and transtibial techniques in ACL reconstruction . Klinisk uppföljning efter ACL-rekonstruktion.
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The transtibial (TT) technique has been shown to be less capable of this than an anteromedial (AM) portal approach but is more familiar to surgeons and less technically challenging. An ACL graft placed in a 65˚ tibial tunnel with the transtibial technique replicates the low tension- flexion pattern of the native ACL because the boundary of the femoral tunnel is within the green zone (a). Double-bundle anterior cruciate ligament (ACL) reconstruction (DBACLR) is a reasonable transition from single-bundle ACL reconstruction to obtain better clinical outcomes, and most authors believe that it can only be performed through a medial portal. Comparison of Anteromedial and Transtibial ACL Reconstruction Using Expandable Fixation. Ozel O, Yucel B, Orman O, Demircay E, Mutlu S. The influence of anatomical or nonanatomical femoral tunnel position on tunnel widening and clinical outcomes in patients undergoing anterior cruciate ligament (ACL) reconstruction is not fully understood.

Methods: Seven matched pairs of cadaveric knees were tested.
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Background The purpose of this study was to evaluate the influence of posterior medial corner (PMC) injuries on clinical outcome and second-look arthroscopic findings after anterior cruciate ligament (ACL) reconstruction. Methods Seventy-eight consecutive patients underwent a second-look arthroscopic surgery after ACL reconstruction and magnetic resonance imaging (MRI) examination of the PMC

Methods: Tenhumancadavericknees(5matchedpairs)withoutligamentinjuryorpre-existing arthritis underwent ACL reconstruction by either a transtibial or anteromedial portal technique. A medial Dr. Timothy Hosea of University Orthopaedic Associates narrates this procedure.For more information please The transtibial ACL reconstruction technique has the potential to result in non-anatomically positioned bone tunnels (Figure 3), which might be responsible for abnormal kinematics1 and thus, for early onset of 2020-03-07 · Purpose The aim of the study is to compare the risk of revision of single-bundle hamstring anterior cruciate ligament (ACL) reconstruction between the anteromedial, transtibial and outside-in techniques.

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The transtibial technique has been shown to produce successful outcomes and was previously the most commonly used option for ACL reconstruction. 5,6) However, the transtibial technique does not fully place the ACL at its anatomic footprints and tends to place the graft in a more vertical orientation due to anatomic constraints of the tibial tunnel. 4,7,8,9,10) In comparison, the anteromedial

fibre bundles of the anterior cruciate ligament. bone tunnel placement using the transtibial.