J Korean Orthop Assoc.  2020 Aug;55(4):311-317. 10.4055/jkoa.2020.55.4.311.

Femoral Tunnel Drilling Techniques in Anterior Cruciate Ligament Reconstruction

Affiliations
  • 1Department of Orthopaedic Surgery, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University, Seoul, Korea

Abstract

The most recent concept in anterior cruciate ligament reconstruction is an anatomical single bundle anterior cruciate ligamentreconstruction. For an anatomical anterior cruciate ligament reconstruction, the tibial tunnel is made anterior than before, and the femoraltunnel is made in a lower and oblique direction compared to the classical method using the transtibial technique. The anteromedial portaltechnique, outside-in technique, and modified transtibial technique have been performed to produce femoral tunnels with anatomicalpositions. Each method has different advantages and disadvantages and is chosen based on the operator’s preferences, experience,instruments, and implants.

Keyword

anterior cruciate ligament; femoral tunnel; transtibial technique; anteromedial portal technique; outside-in technique
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