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Background: Transtibial tunneling technique has been the gold standard for arthroscopic ACL reconstruction for many years,. Despite this high level of success, a growing body of literature has questioned whether this technique sufficiently re- creates the anatomy and function of the native ACL.This created a vogue amongst the arthoscopists for anatomical ACL reconstruction using the anteromedial portal. The purpose of this study was to compare the stability and functional outcome using both the techniques. Materials and methods: 50 patients (39males and 11 females),all non-athletes with ACL deficient knees underwent ACL reconstruction, 25 by transtibial and 25 by anatomical technique. on the basis on stability using Lachman's and Slocum's tests and functional outcome using Lysholm knee score at 3,6 and 12 months. Result: There was no significant difference in the Functional outcome (Lysholm Knee score), anteroposterior stability (Lachman's test) and rotational stability (Slocum's test){p values > 0.05}. Conclusion: Both groups have equally good stability in both the anteroposterior and rotational plane.

Transtibial vs Anatomical tunneling techniques for arthroscopic ACL Reconstruction in non-athletic population