Anatomic Anterior Cruciate Ligament Reconstruction With Eccentric Femoral Footprint Positioning Using a Modified Transtibial Technique
Anatomic placement of tibial and femoral tunnels during anterior cruciate ligament reconstruction is still today a major focus of research in the literature. Eccentric femoral tunnel placement in the center of the anteromedial bundle seems to reduce the risk of revision at mid-term follow-up without...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-05-01
|
| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628724005784 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850226085719965696 |
|---|---|
| author | Arcangelo Russo, M.D., Ph.D. Giuseppe Gianluca Costa, M.D. Gianluca Zocco, M.D. Chiara Blatti, M.D. Rosario Cutaia, M.D. Mirko Amico, M.D. Giuseppe Fanzone, M.D. Calogero Di Naro, M.D. |
| author_facet | Arcangelo Russo, M.D., Ph.D. Giuseppe Gianluca Costa, M.D. Gianluca Zocco, M.D. Chiara Blatti, M.D. Rosario Cutaia, M.D. Mirko Amico, M.D. Giuseppe Fanzone, M.D. Calogero Di Naro, M.D. |
| author_sort | Arcangelo Russo, M.D., Ph.D. |
| collection | DOAJ |
| description | Anatomic placement of tibial and femoral tunnels during anterior cruciate ligament reconstruction is still today a major focus of research in the literature. Eccentric femoral tunnel placement in the center of the anteromedial bundle seems to reduce the risk of revision at mid-term follow-up without significantly compromising knee stability. This technical note presents a modified transtibial drilling technique with femoral tunnel placement in the center of the anteromedial bundle. A medial tibial drilling starting point, bony shaping of the roof of the intercondylar notch, and gentle rotation of the femoral guide are the crucial steps to perform this anatomic anterior cruciate ligament reconstruction technique. |
| format | Article |
| id | doaj-art-2480f79d54ca43f8a249b82f1645bb58 |
| institution | OA Journals |
| issn | 2212-6287 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj-art-2480f79d54ca43f8a249b82f1645bb582025-08-20T02:05:10ZengElsevierArthroscopy Techniques2212-62872025-05-0114510341010.1016/j.eats.2024.103410Anatomic Anterior Cruciate Ligament Reconstruction With Eccentric Femoral Footprint Positioning Using a Modified Transtibial TechniqueArcangelo Russo, M.D., Ph.D.0Giuseppe Gianluca Costa, M.D.1Gianluca Zocco, M.D.2Chiara Blatti, M.D.3Rosario Cutaia, M.D.4Mirko Amico, M.D.5Giuseppe Fanzone, M.D.6Calogero Di Naro, M.D.7Kore University of Enna, Enna, Italy; Orthopaedic and Traumatologic Unit, Umberto I Hospital, Azienda Sanitaria Provinciale di Enna, Enna, Italy; Address correspondence to Arcangelo Russo, M.D., Ph.D., Kore University of Enna, 94100, Enna, Italy.Kore University of Enna, Enna, Italy; Orthopaedic and Traumatologic Unit, Umberto I Hospital, Azienda Sanitaria Provinciale di Enna, Enna, ItalyKore University of Enna, Enna, Italy; Orthopaedic and Traumatologic Unit, Umberto I Hospital, Azienda Sanitaria Provinciale di Enna, Enna, ItalyDepartment of General Surgery and Medical Surgical Specialties, Section of Orthopaedics and Traumatology, University Hospital Policlinico “Rodolico-San Marco,” University of Catania, Catania, ItalyOrthopaedic and Traumatologic Unit, Umberto I Hospital, Azienda Sanitaria Provinciale di Enna, Enna, ItalyDepartment of General Surgery and Medical Surgical Specialties, Section of Orthopaedics and Traumatology, University Hospital Policlinico “Rodolico-San Marco,” University of Catania, Catania, ItalyOrthopaedic and Traumatologic Unit, Umberto I Hospital, Azienda Sanitaria Provinciale di Enna, Enna, ItalyKore University of Enna, Enna, Italy; Orthopaedic and Traumatologic Unit, Umberto I Hospital, Azienda Sanitaria Provinciale di Enna, Enna, ItalyAnatomic placement of tibial and femoral tunnels during anterior cruciate ligament reconstruction is still today a major focus of research in the literature. Eccentric femoral tunnel placement in the center of the anteromedial bundle seems to reduce the risk of revision at mid-term follow-up without significantly compromising knee stability. This technical note presents a modified transtibial drilling technique with femoral tunnel placement in the center of the anteromedial bundle. A medial tibial drilling starting point, bony shaping of the roof of the intercondylar notch, and gentle rotation of the femoral guide are the crucial steps to perform this anatomic anterior cruciate ligament reconstruction technique.http://www.sciencedirect.com/science/article/pii/S2212628724005784 |
| spellingShingle | Arcangelo Russo, M.D., Ph.D. Giuseppe Gianluca Costa, M.D. Gianluca Zocco, M.D. Chiara Blatti, M.D. Rosario Cutaia, M.D. Mirko Amico, M.D. Giuseppe Fanzone, M.D. Calogero Di Naro, M.D. Anatomic Anterior Cruciate Ligament Reconstruction With Eccentric Femoral Footprint Positioning Using a Modified Transtibial Technique Arthroscopy Techniques |
| title | Anatomic Anterior Cruciate Ligament Reconstruction With Eccentric Femoral Footprint Positioning Using a Modified Transtibial Technique |
| title_full | Anatomic Anterior Cruciate Ligament Reconstruction With Eccentric Femoral Footprint Positioning Using a Modified Transtibial Technique |
| title_fullStr | Anatomic Anterior Cruciate Ligament Reconstruction With Eccentric Femoral Footprint Positioning Using a Modified Transtibial Technique |
| title_full_unstemmed | Anatomic Anterior Cruciate Ligament Reconstruction With Eccentric Femoral Footprint Positioning Using a Modified Transtibial Technique |
| title_short | Anatomic Anterior Cruciate Ligament Reconstruction With Eccentric Femoral Footprint Positioning Using a Modified Transtibial Technique |
| title_sort | anatomic anterior cruciate ligament reconstruction with eccentric femoral footprint positioning using a modified transtibial technique |
| url | http://www.sciencedirect.com/science/article/pii/S2212628724005784 |
| work_keys_str_mv | AT arcangelorussomdphd anatomicanteriorcruciateligamentreconstructionwitheccentricfemoralfootprintpositioningusingamodifiedtranstibialtechnique AT giuseppegianlucacostamd anatomicanteriorcruciateligamentreconstructionwitheccentricfemoralfootprintpositioningusingamodifiedtranstibialtechnique AT gianlucazoccomd anatomicanteriorcruciateligamentreconstructionwitheccentricfemoralfootprintpositioningusingamodifiedtranstibialtechnique AT chiarablattimd anatomicanteriorcruciateligamentreconstructionwitheccentricfemoralfootprintpositioningusingamodifiedtranstibialtechnique AT rosariocutaiamd anatomicanteriorcruciateligamentreconstructionwitheccentricfemoralfootprintpositioningusingamodifiedtranstibialtechnique AT mirkoamicomd anatomicanteriorcruciateligamentreconstructionwitheccentricfemoralfootprintpositioningusingamodifiedtranstibialtechnique AT giuseppefanzonemd anatomicanteriorcruciateligamentreconstructionwitheccentricfemoralfootprintpositioningusingamodifiedtranstibialtechnique AT calogerodinaromd anatomicanteriorcruciateligamentreconstructionwitheccentricfemoralfootprintpositioningusingamodifiedtranstibialtechnique |