![]() 2013 5(1):26–35.Īlentorn-Geli E, Samitier G, Alvarez P, Steinbacher G, Cugat R. Three-dimensional reconstruction computed tomography evaluation of tunnel location during single-bundle anterior cruciate ligament reconstruction: a comparison of transtibial and 2-incision tibial tunnel-independent techniques. Femoral tunnel placement during anterior cruciate ligament reconstruction: an in vivo imaging analysis comparing transtibial and 2-incision tibial tunnel-independent techniques. The AM portal technique provided a more reproducible anatomic graft placement compared with the TT technique.Īnterior cruciate ligament anteromedial portal femoral tunnel single-bundle ACL reconstruction tibial tunnel transtibial.Ībebe ES, Moorman CT, Dziedzic TS, et al. In single-bundle ACL reconstruction, the AM drilling technique was superior to the TT drilling technique based on physical examination, scoring systems, and radiographic results. ![]() Low overall complication and revision rates were observed for ACL reconstruction with the AM drilling technique, similar to the TT drilling technique. Significant differences were seen between the femoral and tibial graft angles in both techniques. The AM drilling technique demonstrated a significantly shorter tunnel length ( P =. 00001) were observed with the AM technique compared with the TT technique. 05), and better visual analog scale score for satisfaction ( P =. 001), a higher incidence of IKDC grade A/B ( P =. 0001) results, lower KT-1000 arthrometer maximum manual displacement ( P =. A higher proportion of negative Lachman ( P =. Results suggested that compared with the TT technique, the AM technique led to significantly improved anteroposterior and rotational knee stability, International Knee Documentation Committee (IKDC) scores, and recovery time from surgery. Of these studies, 14 were clinical, 13 were radiological, and 12 were mixed. Of 1270 studies retrieved, 39 studies involving 11,207 patients were included. ![]() To determine whether graft orientation and placement affect clinical outcomes by comparing clinical and radiological outcomes after single-bundle ACL reconstruction with the AM versus TT technique.Īrticles in PubMed, EMBASE, the Cochrane Library, ISI Web of Science, Scopus, and MEDLINE were searched from inception until April 25, 2020, using the following Boolean operators: transtibial OR trans-tibial AND (anteromedial OR trans-portal OR independent OR three portal OR accessory portal) AND anterior cruciate ligament. The 2 most common methods are the transtibial (TT) and anteromedial (AM) techniques. The drilling technique used to make a femoral tunnel is critically important for determining outcomes after anterior cruciate ligament (ACL) reconstruction.
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