Anatomic Single-Bundle Anterior Cruciate Ligament Reconstruction Using the Modified Transtibial Technique.

ABSTRACT: We present a technique for anterior cruciate ligament (ACL) reconstruction using hamstring tendon autograft with a modified transtibial technique. Our modified transtibial technique has the advantages of the conventional transtibial technique that is familiar to surgeons and that allows the press-fit fixing and enables us to make a relatively long femoral tunnel. To make the femoral tunnel at the anatomic position, the triangular, funnel-shaped bony trough was made to slip the eccentrically positioned guide pin into the anticipated anatomic center with a free-hand technique after marking the anatomic ACL footprint using a microfracture awl through the anteromedial portal. Gradual femoral reaming was performed with knee angle changes, which reduces the chances of posterior wall blowout, inc

SUBMITTER: Lee DW 

PROVIDER: S-EPMC5382429 | biostudies-literature | 2017 Feb

REPOSITORIES: biostudies-literature