Freddie H. Fu, MD
Transtibial drilling techniques are widely used for arthroscopic reconstruction of the anterior cruciate ligament, most likely because they simplify femoral tunnel placement and reduce surgical time. Recently, however, there has been concern that this technique results in nonanatomically positioned bone tunnels, which may cause abnormal knee function. The results of a study by Fu, et.al and recently published in JBJS, show that the traditional transtibial technique for arthroscopic anterior cruciate ligament reconstruction results in bone tunnels that are positioned consistently anterior ("high") to the anatomic anteromedial and posterolateral tunnels. In this JBJS/VJO video supplement to the published study, Dr. Fu demonstrates his surgical technique of single bundle ACL reconstruction and provides comprehensive examples of how to avoid nonanatomically positioned bone tunnels.
Material Covered
- Anatomic Evaluation
- Anatomic vs. Nonanatomic Tunnel Placement
- Avoiding Complications
- Surgical Pearls to Improve Outcomes
See the Corresponding JBJS Article:
- Sebastian Kopf, Brian Forsythe, Andrew K. Wong, Scott Tashman, William Anderst, James J. Irrgang, and Freddie H. Fu
- Nonanatomic Tunnel Position in Traditional Transtibial Single-Bundle Anterior Cruciate Ligament Reconstruction Evaluated by Three-Dimensional Computed Tomography
J. Bone Joint Surg. Am., Jun 2010; 92: 1427 – 1431 [Article]
Specifications
- Total Run Time: 24:38 minutes
- Catalog Number: 5111
- VJO Publication Date: September, 2010