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

PDF | Anatomical anterior cruciate ligament (ACL) reconstruction is a reasonable transition from isometric ACL reconstruction to obtain better clinical | Find, read and cite all the research

The femoral tunnels are located at the center of the distal and proximal halves of the footprint and marked with a radiofrequency probe. 2017-05-01 · The records of 80 patients (79 men and 1 woman) who underwent ACL reconstruction were evaluated. In 38 patients, anatomical femoral tunnel placement was performed via an accessory medial portal (anteromedial group); in the remaining 42 patients, the femoral tunnel was positioned nonanatomically using a transtibial technique (transtibial group). Keywords ACL Anatomy Transtibial Anterior cruciate ligament 3D CT Introduction It has been reported in cadaveric and clinical studies that anatomically placed tunnels better restore normal knee kinematics [24, 25]. In spite of its popularity, the ability of the transtibial technique to reliably position bone tunnels anterior cruciate ligament (ACL) reconstruction with transtibial versus anteromedial portal drilling of the femoraltunnel.

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Skip to collection list Skip to video grid. ACL - Soft Tissue. Dr. Uribe - Transtibial Soft Tissue ACL Reconstruction Using the ExoShape® Femoral and Tibial Jul 31, 2017 First, the tibial tunnel was created in the center of ACL footprint. Then, a pin to transtibial technique in single bundle anterior cruciate ligament Figure 3. (A) Hybrid transtibial (HTT) femoral tunnels overlapped more than 90% of the native femoral insertion, slightly greater than anteromedial (AM) portal Reconstruction of the anterior cruciate ligament (ACL) is a well-established procedure worldwide [1],[2].

Nov 1, 2017 Dr. Uribe presents a Transtibial ACL Reconstruction technique using the ExoShape Femoral and Tibial fastener. CONMED's ExoShape is a

The ACL ToolBox is a comprehensive system that allows surgeons to drill using medial portal, transtibial, or RetroDrill ® techniques. Achieve accurate and reproducible tunnel preparation with this set, which contains marking hooks, drill guides, offset reference guides, dilators, and reamers. 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).

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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. In the transtibial technique, positioning the ACL tibial tunnel in the posterior half of the ACL tibial attachment site is dictated by the need for the endoscopic drill bit to reach the region of the ACL femoral attachment site and the desire for the ACL graft to avoid impingement against the roof of the intercondylar notch when the knee is in full extension. Surgical technique video featuring the ENDOBUTTON* CL BTB Device, employed in two ACL reconstruction techniques, as described by Stuart E. Fromm, MD. This vi

In 38 patients, anatomical femoral tunnel placement was performed via an accessory medial portal (anteromedial group); in the remaining 42 patients, the femoral tunnel was positioned nonanatomically using a transtibial technique (transtibial group). Keywords ACL Anatomy Transtibial Anterior cruciate ligament 3D CT Introduction It has been reported in cadaveric and clinical studies that anatomically placed tunnels better restore normal knee kinematics [24, 25]. In spite of its popularity, the ability of the transtibial technique to reliably position bone tunnels Dr. Timothy Hosea of University Orthopaedic Associates narrates this procedure.For more information please visitwww.uoanj.com traditional transtibial technique: 1. The ACL femoral tunnel is drilled independently of the tibial tunnel, which results in consistent placement of the femoral tunnel within the native ACL femoral attachment site. 2.
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Traditionally, surgeons were trained to use the transtibial technique (TT) for drilling the femoral tunnel.

Methods: Tenhumancadavericknees(5matchedpairs)withoutligamentinjuryorpre-existing arthritis underwent ACL reconstruction by either a transtibial or anteromedial portal technique. The ACL ToolBox is a comprehensive system that allows surgeons to drill using medial portal, transtibial, or RetroDrill ® techniques.
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ligament (ACL) reconstruction, it is important to make tibial and femoral entrances in the anatomic location. Techniques such as modiﬁed transtibial tech-nique, transanteromedial portal technique, and outside-in technique have been employed for anatomic single-bundle ACL reconstruction.1 Although the transtibial technique is familiar to most

Functional Rehabilitation and evaluation after anterior cruciate ligament injury. Function restored by anterior cruciate ligament reconstruction. Arthroscopy. fibre bundles of the anterior cruciate ligament. bone tunnel placement using the transtibial.