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European Journal of Orthopaedic Surgery & Traumatology

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01-08-2013 | Technical Note

Oblique femoral tunnel or oblique graft? A modified anteromedial portal technique to obtain vertical femoral tunnel and oblique graft in anatomic anterior cruciate ligament reconstruction

Authors: Chunli Zhang, Hu Xu, Xiaojian Li, Yingchun Wang, Qiang Zhang, Qinsheng Zhu

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 6/2013

Abstract

In anterior cruciate ligament (ACL) reconstruction, transtibial drilling of the femoral tunnel has been criticized for its vertical and less anatomical tunnel, which accompanied rotational instability of knee. Many authors recommend anteromedial (AM) portal drilling technique, which creates more oblique and anatomic femoral tunnel. However, recent researches show that oblique tunnel is related to risks of too short femoral tunnel, blowout of back wall, and posterolateral structures injury. Is oblique femoral tunnel really essential for anatomic reconstruction? We introduce a modified AM technique, which abandons the oblique tunnel and provides vertical femoral tunnel and oblique graft with anatomic starting point. The fundamental of the new technique is that oblique graft but not oblique tunnel is essential for rotational stability of knee. Thus, it avoids the risks and preserves anatomic reproduction of ACL.

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Title: Oblique femoral tunnel or oblique graft? A modified anteromedial portal technique to obtain vertical femoral tunnel and oblique graft in anatomic anterior cruciate ligament reconstruction
Authors: Chunli Zhang
Hu Xu
Xiaojian Li
Yingchun Wang
Qiang Zhang
Qinsheng Zhu
Publication date: 01-08-2013
Publisher: Springer Paris
Published in: European Journal of Orthopaedic Surgery & Traumatology / Issue 6/2013
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-012-1046-4

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Oblique femoral tunnel or oblique graft? A modified anteromedial portal technique to obtain vertical femoral tunnel and oblique graft in anatomic anterior cruciate ligament reconstruction

Abstract

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

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