ArticleArthroscopy techniques2017
Anatomic Femoral and Tibial Tunnel Placement During Anterior Cruciate Ligament Reconstruction: Anteromedial Portal All-Inside and Outside-In Techniques.
Article in Arthroscopy techniques, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it.
- [Progress of different methods for femoral tunnel positioning in anterior cruciate ligament reconstruction].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2021Pooled it
- Notch-referenced mediolateral verification of tibial tunnel position in anterior cruciate ligament reconstruction: a 3D imaging validation study.Archives of orthopaedic and trauma surgery · 2026Article
- Postoperative Radiographic Reports After Anterior Cruciate Ligament Reconstruction: Are We Assessing What Really Matters?Journal of clinical medicine · 2026Article
- Mid-Term Tibial Tunnel Enlargement and Graft Maturation After ACL Reconstruction: A 5-Year Follow-Up Linking Morphological Dynamics to Knee Function.Orthopaedic surgery · 2026Article
- Anterior Cruciate Ligament Reconstruction Failure: Etiology, Classification, and Revision Strategies-A Narrative Review.Journal of functional morphology and kinesiology · 2026Review
- Femoral tunnel reaming method in anterior cruciate ligament reconstruction cannot be determined from plain radiographs alone.Annals of joint · 2026Article
- Technical Pearl to Gauge Guide Pin Depth During Transtibial Pullout Repair of Posterior Meniscal Root Tears.Arthroscopy techniques · 2025Article
- Eccentric Reaming to Correct Nonanatomic Anterior Cruciate Ligament Tibial Tunnel Placement.Arthroscopy techniques · 2025Article
- Superior reproducibility and femoral tunnel angulation with hybrid transtibial vs. anteromedial portal techniques in ACL reconstruction: a retrospective case-control study.Frontiers in surgery · 2025Article
- Novel application of an imageless robotic system in simultaneous unicompartmental knee arthroplasty and anterior cruciate ligament reconstruction.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2025Article
- Accuracy of femoral tunnel placement using three different techniques in performing arthroscopic all-inside anterior Cruciate Ligament reconstruction; A randomized study.Journal of clinical orthopaedics and trauma · 2024Article
- Proximally positioned femoral grafts decrease passive anterior tibial subluxation in anterior cruciate ligament reconstruction using a posterior trans-septal portal.International orthopaedics · 2024Article
- Anterior Cruciate Ligament Reconstruction Utilizing Double Adjustable-Loop Suspensory Fixation Devices Provides Good Clinical Outcomes in Patients under the Age of 40 Years at Two-Year Follow-Up.Journal of clinical medicine · 2024Article
- Weight Is a Predictor of Delayed Operation Time in Primary Isolated Anterior Cruciate Ligament Reconstruction.Biomedicines · 2023Article
- Whether sutures reduce the graft laceration caused by interference screw in anterior cruciate ligament reconstruction? A biomechanical study in vitro.BMC musculoskeletal disorders · 2021Article
- All-inside technique in ACL reconstruction: mid-term clinical outcomes and comparison with AM technique (Hamstrings and BpTB grafts).European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2021Article
- Anterior cruciate ligament bundle insertions vary between ACL-rupture and non-injured knees.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Article
- No difference in revision rates between anteromedial portal and transtibial drilling of the femoral graft tunnel in primary anterior cruciate ligament reconstruction: early results from the New Zealand ACL Registry.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- Graft Retensioning by Dialing of Suture Disk on Tibial-Side Fixation in Arthroscopic Anterior Cruciate Ligament Reconstruction: Pathak Pune Dialing Technique.Arthroscopy techniques · 2020Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Tunnel malposition is one of the most common technical reasons for anterior cruciate ligament reconstruction failure. Small changes in tunnel placement can result in significant differences in outcome. More anatomic placement of the tunnels can lead to greater knee stability and a more accurate reproduction of native knee kinematics. This Technical Note describes 2 tibial tunnel-independent methods to obtain anatomic femoral tunnel placement. The all-inside anteromedial portal technique requires only minimal surgical incisions but allows precise femoral tunnel placement. However, hyperflexion of the knee is required, adequate surgical assistance is necessary, and this technique may be susceptible to graft-tunnel mismatch. The outside-in technique may be more beneficial in obese patients, skeletally immature patients, or revision cases. On the downside, it does require an additional 2-cm surgical incision. This article also provides surgical pearls to fine-tune tibial tunnel placement.
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Registered trials
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