Transtibial ACL reconstruction technique fails to position drill tunnels anatomically in vivo 3D CT study

Knee Surgery, Sports Traumatology, Arthroscopy

Volumn 20, Issue 11, 2012, Pages 2200-2207

  Kopf, Sebastian ^a   Forsythe, Brian ^a   Wong, Andrew K ^a   Tashman, Scott ^a   Irrgang, James J ^a   Fu, Freddie H ^a  

^a UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE   (United States)

Author keywords

3D CT; ACL; Anatomy; Anterior cruciate ligament; Transtibial

Indexed keywords

ADOLESCENT; ADULT; ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION; ARTICLE; COMPUTER ASSISTED TOMOGRAPHY; FEMALE; FEMUR; HUMAN; IMAGE PROCESSING; MALE; METHODOLOGY; MIDDLE AGED; RADIOGRAPHY; THREE DIMENSIONAL IMAGING; TIBIA;

ADOLESCENT; ADULT; ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION; FEMALE; FEMUR; HUMANS; IMAGE PROCESSING, COMPUTER-ASSISTED; IMAGING, THREE-DIMENSIONAL; MALE; MIDDLE AGED; TIBIA; TOMOGRAPHY, X-RAY COMPUTED; YOUNG ADULT;

EID: 84867841204     PISSN: 09422056     EISSN: 14337347     Source Type: Journal    
DOI: 10.1007/s00167-011-1851-z     Document Type: Article

References (26)

1. Abebe ES, Moorman CT, Dziedzic TS, Spritzer CE, Cothran RL, Taylor DC, Garrett WE, Defrate LE (2009) Femoral tunnel placement during anterior cruciate ligament reconstruction: an in vivo imaging analysis comparing transtibial and 2-incision tibial tunnel-independent techniques. Am J Sports Med 37: 1904-1911.
2. Amis AA, Jakob RP (1998) Anterior cruciate ligament graft positioning, tensioning and twisting. Knee Surg Sports Traumatol Arthrosc 6(Suppl 1): S2-S12.
3. Arnold MP, Kooloos J, van Kampen A (2001) Single-incision technique misses the anatomical femoral anterior cruciate ligament insertion: a cadaver study. Knee Surg Sports Traumatol Arthrosc 9: 194-199.
4. Bedi A, Musahl V, Steuber V, Kendoff D, Choi D, Allen AA, Pearle AD, Altchek DW (2011) Transtibial versus anteromedial portal reaming in anterior cruciate ligament reconstruction: an anatomic and biomechanical evaluation of surgical technique. Arthroscopy 27: 380-390.
5. Bernard M, Hertel P, Hornung H, Cierpinski T (1997) Femoral insertion of the ACL. Radiographic quadrant method. Am J Knee Surg 10: 14-21 Discussion 21-2.
6. Biau DJ, Tournoux C, Katsahian S, Schranz P, Nizard R (2007) ACL reconstruction: a meta-analysis of functional scores. Clin Orthop Relat Res 458: 180-187.
7. Dargel J, Schmidt-Wiethoff R, Fischer S, Mader K, Koebke J, Schneider T (2009) Femoral bone tunnel placement using the transtibial tunnel or the anteromedial portal in ACL reconstruction: a radiographic evaluation. Knee Surg Sports Traumatol Arthrosc 17: 220-227.
8. Fithian DC, Paxton EW, Stone ML, Luetzow WF, Csintalan RP, Phelan D, Daniel DM (2005) Prospective trial of a treatment algorithm for the management of the anterior cruciate ligament-injured knee. Am J Sports Med 33: 335-346.
9. Forsythe B, Kopf S, Wong AK, Martins CAQ, Anderst W, Tashman S, Fu FH (2010) The location of femoral and tibial tunnels in anatomic double-bundle anterior cruciate ligament reconstruction analyzed by three-dimensional computed tomography models. J Bone Jt Surg Am 92: 1418-1426.
10. Gavriilidis I, Motsis EK, Pakos EE, Georgoulis AD, Mitsionis G, Xenakis TA (2008) Transtibial versus anteromedial portal of the femoral tunnel in ACL reconstruction: a cadaveric study. Knee 15: 364-367.
11. Gougoulias N, Khanna A, Griffiths D, Maffulli N (2008) ACL reconstruction: can the transtibial technique achieve optimal tunnel positioning? A radiographic study. Knee 15: 486-490.
12. Heming JF, Rand J, Steiner ME (2007) Anatomical limitations of transtibial drilling in anterior cruciate ligament reconstruction. Am J Sports Med 35: 1708-1715.
13. Iorio R, Vadalà A, Argento G, Di Sanzo V, Ferretti A (2007) Bone tunnel enlargement after ACL reconstruction using autologous hamstring tendons: a CT study. Int Orthop 31: 49-55.
14. Jepsen CF, Lundberg-Jensen AK, Faunoe P (2007) Does the position of the femoral tunnel affect the laxity or clinical outcome of the anterior cruciate ligament-reconstructed knee? A clinical, prospective, randomized, double-blind study. Arthroscopy 23: 1326-1333.
15. Kaseta MK, DeFrate LE, Charnock BL, Sullivan RT, Garrett WE (2008) Reconstruction technique affects femoral tunnel placement in ACL reconstruction. Clin Orthop Relat Res 466: 1467-1474.
16. Kopf S, Forsythe B, Wong AK, Tashman S, Anderst W, Irrgang JJ, Fu FH (2010) Nonanatomic tunnel position in traditional transtibial single-bundle anterior cruciate ligament reconstruction evaluated by three-dimensional computed tomography. J Bone Jt Surg Am 92: 1427-1431.
17. Musahl V, Plakseychuk A, VanScyoc A, Sasaki T, Debski RE, McMahon PJ, Fu FH (2005) Varying femoral tunnels between the anatomical footprint and isometric positions: effect on kinematics of the anterior cruciate ligament-reconstructed knee. Am J Sports Med 33: 712-718.
18. Pinczewski LA, Salmon LJ, Jackson WF, von Bormann RB, Haslam PG, Tashiro S (2008) Radiological landmarks for placement of the tunnels in single-bundle reconstruction of the anterior cruciate ligament. J Bone Jt Surg Br 90: 172-179.
19. Purnell ML, Larson AI, Clancy W (2008) 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 36: 2083-2090.
20. Silva A, Sampaio R, Pinto E (2010) Placement of femoral tunnel between the AM and PL bundles using a transtibial technique in single-bundle ACL reconstruction. Knee Surg Sports Traumatol Arthrosc 18: 1245-1251.
21. Steiner ME, Battaglia TC, Heming JF, Rand JD, Festa A, Baria M (2009) Independent drilling outperforms conventional transtibial drilling in anterior cruciate ligament reconstruction. Am J Sports Med 37: 1912-1919.
22. Tashman S, Collon D, Anderson K, Kolowich P, Anderst W (2004) Abnormal rotational knee motion during running after anterior cruciate ligament reconstruction. Am J Sports Med 32: 975-983.
23. Tashman S, Kolowich P, Collon D, Anderson K, Anderst W (2007) Dynamic function of the ACL-reconstructed knee during running. Clin Orthop Relat Res 454: 66-73.
24. Yagi M, Kuroda R, Nagamune K, Yoshiya S, Kurosaka M (2007) Double-bundle ACL reconstruction can improve rotational stability. Clin Orthop Relat Res 454: 100-107.
25. Yagi M, Wong EK, Kanamori A, Debski RE, Fu FH, Woo SL (2002) Biomechanical analysis of an anatomic anterior cruciate ligament reconstruction. Am J Sports Med 30: 660-666.
26. Zantop T, Diermann N, Schumacher T, Schanz S, Fu FH, Petersen W (2008) Anatomical and nonanatomical double-bundle anterior cruciate ligament reconstruction: importance of femoral tunnel location on knee kinematics. Am J Sports Med 36: 678-685.