Open AccessDoes Anteromedial Portal Drilling Improve Footprint Placement in Anterior Cruciate Ligament Reconstruction?
Author(s) -
Sally Arno,
Christopher Bell,
Michael J. Alaia,
Brian C. Singh,
Laith M. Jazrawi,
Peter S. Walker,
Ankit Bansal,
Garret Garofolo,
Orrin H. Sherman
Publication year - 2016
Publication title -
clinical orthopaedics and related research
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 1.178
H-Index - 204
eISSN - 1528-1132
pISSN - 0009-921X
DOI - 10.1007/s11999-016-4847-7
Subject(s) - medicine , footprint , anterior cruciate ligament , anterior cruciate ligament reconstruction , orthodontics , drilling , anatomy , geology , mechanical engineering , paleontology , engineering
Considerable debate remains over which anterior cruciate ligament (ACL) reconstruction technique can best restore knee stability. Traditionally, femoral tunnel drilling has been done through a previously drilled tibial tunnel; however, potential nonanatomic tunnel placement can produce a vertical graft, which although it would restore sagittal stability, it would not control rotational stability. To address this, some suggest that the femoral tunnel be created independently of the tibial tunnel through the use of an anteromedial (AM) portal, but whether this results in a more anatomic footprint or in stability comparable to that of the intact contralateral knee still remains controversial.