Anatomic femoral tunnel drilling in anterior cruciate ligament reconstruction: Use of an accessory medial portal versus traditional transtibial drilling

American Journal of Sports Medicine

Volumn 40, Issue 6, 2012, Pages 1313-1321

  Tompkins, Marc ^a   Milewski, Matthew D ^b   Brockmeier, Stephen F ^c   Gaskin, Cree M ^c,d   Hart, Joseph M ^c   Miller, Mark D ^c  

^a UNIVERSITY OF MINNESOTA   (United States)

^b Division of Pediatric Infectious Diseases   (United States)

^c UNIVERSITY OF VIRGINIA   (United States)

^d UNIVERSITY OF VIRGINIA   (United States)

Author keywords

accessory medial portal; ACL reconstruction; femoral footprint; femoral tunnel; transtibial

Indexed keywords

ANTERIOR CRUCIATE LIGAMENT; ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION; ARTICLE; CADAVER; FEMALE; FEMUR; HISTOLOGY; HUMAN; MALE; METHODOLOGY; RADIOGRAPHY; TIBIA;

ANTERIOR CRUCIATE LIGAMENT; ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION; CADAVER; FEMALE; FEMUR; HUMANS; MALE; TIBIA;

EID: 84861816784     PISSN: 03635465     EISSN: 15523365     Source Type: Journal    
DOI: 10.1177/0363546512443047     Document Type: Article

References (65)

1. Alentorn-Geli E, Lajara F, Samitier G, Cugat R. The transtibial versus the anteromedial portal technique in the arthroscopic bone-patellar tendon-bone anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 2009 ; 18: 1013-1037
2. Alentorn-Geli E, Samitier G, Alvarez P, Steinbacher G, Cugat R. Anteromedial portal versus transtibial drilling techniques in ACL reconstruction: a blinded cross-sectional study at two- to five-year follow-up. Int Orthop. 2010 ; 34: 747-754
3. Amis AA, Jakob RP. Anterior cruciate ligament graft positioning, tensioning and twisting. Knee Surg Sports Traumatol Arthrosc. 1998 ; 6: S2 - S12
4. Bedi A, Altchek DW. The "footprint" anterior cruciate ligament technique: an anatomic approach to anterior cruciate ligament reconstruction. Arthroscopy. 2009 ; 25: 1128-1138
5. Bedi A, Maak T, Musahl V, et al. Effect of tunnel position and graft size in single-bundle anterior cruciate ligament reconstruction: an evaluation of time-zero knee stability. Arthroscopy. 2011 ; 27: 1543-1551
6. Bedi A, Musahl V, Steuber V, et al. Transtibial versus anteromedial portal reaming in anterior cruciate ligament reconstruction: an anatomic and biomechanical evaluation of surgical technique. Arthroscopy. 2011 ; 27: 380-390
7. Bedi A, Raphael B, Maderazo A, Pavlov H, Williams RJ. Transtibial versus anteromedial portal drilling for anterior cruciate ligament reconstruction: a cadaveric study of femoral tunnel length and obliquity. Arthroscopy. 2010 ; 26: 342-350
8. Bowers AL, Bedi A, Lipman JD, et al. Comparison of anterior cruciate ligament tunnel position and graft obliquity with transtibial and anteromedial portal femoral tunnel reaming techniques using high-resolution magnetic resonance imaging. Arthroscopy. 2011 ; 27: 1511-1522
9. Buoncristiani AM, Tjoumakaris FP, Starman JS, Ferretti M, Fu FH. Anatomic double-bundle anterior cruciate ligament reconstruction. Arthroscopy. 2006 ; 22: 1000-1006
10. Cohen SB, Fu FH. Three-portal technique for anterior cruciate ligament reconstruction: use of a central medial portal. Arthroscopy. 2007 ; 23: 325.e1-325.e5
11. Colombet P, Robinson J, Christel P, et al. Morphology of anterior cruciate ligament attachments for anatomic reconstruction: a cadaveric dissection and radiographic study. Arthroscopy. 2006 ; 22: 984-992
12. Dargel J, Schmidt-Wiethoff R, Fischer S, Mader K, Koebke J, Schneider T. Femoral bone tunnel placement using the transtibial tunnel or the anteromedial portal in ACL reconstruction: a radiographic evaluation. Knee Surg Sports Traumatol Arthrosc. 2009 ; 17: 220-227
13. Ebraheim NA, Liu J, Patil V, et al. Evaluation of skull thickness and insertion torque at the halo pin insertion areas in the elderly: a cadaveric study. Spine J. 2007 ; 7: 689-693
14. Edwards A, Bull AM, Amis AA. The attachments of the anteromedial and posterolateral fibre bundles of the anterior cruciate ligament, part 2: femoral attachment. Knee Surg Sports Traumatol Arthrosc. 2008 ; 16: 29-36
15. Ferretti M, Ekdahl M, Shen W, Fu FH. Osseous landmarks of the femoral attachment of the anterior cruciate ligament: an anatomic study. Arthroscopy. 2007 ; 23: 1218-1225
16. Forsythe B, Kopf S, Wong AK, et al. The location of femoral and tibial tunnels in anatomic double-bundle anterior cruciate ligament reconstruction analyzed by three-dimensional computed tomography models. J Bone Joint Surg Am. 2010 ; 92: 1418-1426
17. Gelber PE, Erquicia J, Abat F, et al. Effectiveness of a footprint guide to establish an anatomic femoral tunnel in anterior cruciate ligament reconstruction: computed tomography evaluation in a cadaveric model. Arthroscopy. 2011 ; 27: 817-824
18. Giron F, Cuomo P, Edwards A, Bull AM, Amis AA, Aglietti P. Double-bundle "anatomic" anterior cruciate ligament reconstruction: a cadaveric study of tunnel positioning with a transtibial technique. Arthroscopy. 2007 ; 23: 7-13
19. Han Y, Kurzencwyg D, Hart A, Powell T, Martineau PA. Measuring the anterior cruciate ligament's footprints by three-dimensional magnetic resonance imaging [published online ahead of print October 11, 2011]. Knee Surg Sports Traumatol Arthrosc.:
20. Hantes ME, Zachos VC, Liantsis A, Venouziou A, Karantanas AH, Malizos KN. Differences in graft orientation using the transtibial and anteromedial portal technique in anterior cruciate ligament reconstruction: a magnetic resonance imaging study. Knee Surg Sports Traumatol Arthrosc. 2009 ; 17: 880-886
21. Harner CD, Honkamp NJ, Ranawat AS. Anteromedial portal technique for creating the anterior cruciate ligament femoral tunnel. Arthroscopy. 2008 ; 24: 113-115
22. Hohmann E, Bryant A, Tetsworth K. Tunnel positioning in anterior cruciate ligament reconstruction: how long is the learning curve?. Knee Surg Sports Traumatol Arthrosc. 2010 ; 18: 1576-1582
23. Inoue M, Tokuyasu S, Kuwahara S, et al. Tunnel location in transparent 3-dimensional CT in anatomic double-bundle anterior cruciate ligament reconstruction with the trans-tibial tunnel technique. Knee Surg Sports Traumatol Arthrosc. 2010 ; 18: 1176-1183
24. Jackson DW, Gasser SI. Tibial tunnel placement in ACL reconstruction. Arthroscopy. 1994 ; 10: 124-131
25. Kopf S, Forsythe B, Wong AK, et al. Nonanatomic tunnel position in traditional transtibial single-bundle anterior cruciate ligament reconstruction evaluated by three-dimensional computed tomography. J Bone Joint Surg Am. 2010 ; 92: 1427-1431
26. Kopf S, Martin DE, Tashman S, Fu FH. Effect of tibial drill angles on bone tunnel aperture during anterior cruciate ligament reconstruction. J Bone Joint Surg Am. 2010 ; 92: 871-881
27. Kopf S, Musahl V, Tashman S, Szczodry M, Shen W, Fu FH. A systematic review of the femoral origin and tibial insertion morphology of the ACL. Knee Surg Sports Traumatol Arthrosc. 2009 ; 17: 213-219
28. Kopf S, Pombo MW, Shen W, Irrgang JJ, Fu FH. The ability of 3 different approaches to restore the anatomic anteromedial bundle femoral insertion site during anatomic anterior cruciate ligament reconstruction. Arthroscopy. 2011 ; 27: 200-206
29. Kopf S, Pombo MW, Szczodry M, Irrgang JJ, Fu FH. Size variability of the human anterior cruciate ligament insertion sites. Am J Sports Med. 2011 ; 39: 108-113
30. Lee WA. Endovascular abdominal aortic aneurysm sizing and case planning using the TeraRecon Aquarius workstation. Vasc Endovascular Surg. 2007 ; 41: 61-67
31. Lertwanich P, Martins CA, Asai S, Ingham SJ, Smolinski P, Fu FH. Anterior cruciate ligament tunnel position measurement reliability on 3-dimensional reconstructed computed tomography. Arthroscopy. 2011 ; 27: 391-398
32. Lorenz S, Elser F, Mitterer M, Obst T, Imhoff AB. Radiologic evaluation of the insertion sites of the 2 functional bundles of the anterior cruciate ligament using 3-dimensional computed tomography. Am J Sports Med. 2009 ; 37: 2368-2376
33. Lubowitz JH. Anteromedial portal technique for the anterior cruciate ligament femoral socket: pitfalls and solutions. Arthroscopy. 2009 ; 25: 95-101
34. McCulloch PC, Lattermann C, Boland AL, Bach BR. An illustrated history of anterior cruciate ligament surgery. J Knee Surg. 2007 ; 20: 95-104
35. Miller CD, Gerdeman AC, Hart JM, et al. A comparison of 2 drilling techniques on the femoral tunnel for anterior cruciate ligament reconstruction. Arthroscopy. 2011 ; 27: 372-379
36. Miller MD, Gerdeman AC, Miller CD, et al. The effects of extra-articular starting point and transtibial femoral drilling on the intra-articular aperture of the tibial tunnel in ACL reconstruction. Am J Sports Med. 2010 ; 38: 707-712
37. Morgan CD, Kalman VR, Grawl DM. Definitive landmarks for reproducible tibial tunnel placement in anterior cruciate ligament reconstruction. Arthroscopy. 1995 ; 11: 275-288
38. Musahl V, Burkart A, Debski RE, Van Scyoc A, Fu FH, Woo SL. Anterior cruciate ligament tunnel placement: comparison of insertion site anatomy with the guidelines of a computer-assisted surgical system. Arthroscopy. 2003 ; 19: 154-160
39. Musahl V, Voos JE, O'Loughlin PF, et al. Comparing stability of different single- and double-bundle anterior cruciate ligament reconstruction techniques: a cadaveric study using navigation. Arthroscopy. 2010 ; 26: S41 - S48
40. Nishimoto K, Kuroda R, Mizuno K, et al. Analysis of the graft bending angle at the femoral tunnel aperture in anatomic double bundle anterior cruciate ligament reconstruction: a comparison of the transtibial and the far anteromedial portal technique. Knee Surg Sports Traumatol Arthrosc. 2009 ; 17: 270-276
41. Piasecki DP, Bachx Bach, Espinoza Orias AA, Verma NN. Anterior cruciate ligament reconstruction: can anatomic femoral placement be achieved with a transtibial technique?. Am J Sports Med. 2011 ; 39 (6). 1306-1315
42. Pinczewski LA, Salmon LJ, Jackson WF, von Bormann RB, Haslam PG, Tashiro S. Radiological landmarks for placement of the tunnels in single-bundle reconstruction of the anterior cruciate ligament. J Bone Joint Surg Br. 2008 ; 90: 172-179
43. Pombo MW, Shen W, Fu FH. Anatomic double-bundle anterior cruciate ligament reconstruction: where are we today?. Arthroscopy. 2008 ; 24: 1168-1177
44. Purnell ML, Larson AI, Clancy W. Anterior cruciate ligament insertions on the tibia and femur and their relationships to critical bony landmarks using high-resolution volume-rendering computed tomography. Am J Sports Med. 2008 ; 36: 2083-2090
45. Sadoghi P, Kropfl A, Jansson V, Muller PE, Pietschmann MF, Fischmeister MF. Impact of tibial and femoral tunnel position on clinical results after anterior cruciate ligament reconstruction. Arthroscopy. 2011 ; 27: 355-364
46. Seon JK, Park SJ, Lee KB, Seo HY, Kim MS, Song EK. In vivo stability and clinical comparison of anterior cruciate ligament reconstruction using low or high femoral tunnel positions. Am J Sports Med. 2011 ; 39: 127-133
47. Shah AA, Brien A, Lowe WR. Radiographic results of femoral tunnel drilling through the anteromedial portal in anterior cruciate ligament reconstruction. Arthroscopy. 2010 ; 26: 1586-1592
48. Shino K, Suzuki T, Iwahashi T, et al. The resident's ridge as an arthroscopic landmark for anatomical femoral tunnel drilling in ACL reconstruction. Knee Surg Sports Traumatol Arthrosc. 2010 ; 18: 1164-1168
49. Sohn DH, Garrett WE. Transitioning to anatomic anterior cruciate ligament graft placement. J Knee Surg. 2009 ; 22: 155-160
50. Sommer C, Friederich NF, Muller W. Improperly placed anterior cruciate ligament grafts: correlation between radiological parameters and clinical results. Knee Surg Sports Traumatol Arthrosc. 2000 ; 8: 207-213
51. Steiner M. Anatomic single-bundle ACL reconstruction. Sports Med Arthrosc. 2009 ; 17: 247-251
52. Steiner ME, Battaglia TC, Heming JF, Rand JD, Festa A, Baria M. Independent drilling outperforms conventional transtibial drilling in anterior cruciate ligament reconstruction. Am J Sports Med. 2009 ; 37: 1912-1919
53. Strauss EJ, Barker JU, McGill K, Cole BJ, Bach BR, Verma NN. Can anatomic femoral tunnel placement be achieved using a transtibial technique for hamstring anterior cruciate ligament reconstruction?. Am J Sports Med. 2011 ; 39 (6). 1263-1269
54. Treme G, Diduch DR, Billante MJ, Miller MD, Hart JM. Hamstring graft size prediction: a prospective clinical evaluation. Am J Sports Med. 2008 ; 36: 2204-2209
55. Tsukada H, Ishibashi Y, Tsuda E, Fukuda A, Toh S. Anatomical analysis of the anterior cruciate ligament femoral and tibial footprints. J Orthop Sci. 2008 ; 13: 122-129
56. van Ooijen PM, de Jonge G, Oudkerk M. Coronary fly-through or virtual angioscopy using dual-source MDCT data. Eur Radiol. 2007 ; 17: 2852-2859
57. Wong C, Saint-Cyr M, Mojallal A, et al. Perforasomes of the DIEP flap: vascular anatomy of the lateral versus medial row perforators and clinical implications. Plast Reconstr Surg. 2010 ; 125: 772-782
58. Yamamoto Y, Hsu WH, Woo SL, Van Scyoc AH, Takakura Y, Debski RE. Knee stability and graft function after anterior cruciate ligament reconstruction: a comparison of a lateral and an anatomical femoral tunnel placement. Am J Sports Med. 2004 ; 32: 1825-1832
59. Yamazaki J, Muneta T, Koga H, et al. Radiographic description of femoral tunnel placement expressed as intercondylar clock time in double-bundle anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 2011 ; 19: 418-423
60. Yasuda K, van Eck CF, Hoshino Y, Fu FH, Tashman S. Anatomic single- and double-bundle anterior cruciate ligament reconstruction, part 1: basic science. Am J Sports Med. 2011 ; 39: 1789-1799
61. Zantop T, Diermann N, Schumacher T, Schanz S, Fu FH, Petersen W. Anatomical and nonanatomical double-bundle anterior cruciate ligament reconstruction: importance of femoral tunnel location on knee kinematics. Am J Sports Med. 2008 ; 36: 678-685
62. Zantop T, Ferretti M, Bell KM, Brucker PU, Gilbertson L, Fu FH. Effect of tunnel-graft length on the biomechanics of anterior cruciate ligament-reconstructed knees: intra-articular study in a goat model. Am J Sports Med. 2008 ; 36: 2158-2166
63. Zantop T, Kubo S, Petersen W, Musahl V, Fu FH. Current techniques in anatomic anterior cruciate ligament reconstruction. Arthroscopy. 2007 ; 23: 938-947
64. Zantop T, Wellmann M, Fu FH, Petersen W. Tunnel positioning of anteromedial and posterolateral bundles in anatomic anterior cruciate ligament reconstruction: anatomic and radiographic findings. Am J Sports Med. 2008 ; 36: 65-72
65. Ziegler CG, Pietrini SD, Westerhaus BD, et al. Arthroscopically pertinent landmarks for tunnel positioning in single-bundle and double-bundle anterior cruciate ligament reconstructions. Am J Sports Med. 2011 ; 39: 743-752