An audit of tunnel position in anterior cruciate ligament reconstruction

The Knee ◽  
2001 ◽  
Vol 8 (1) ◽  
pp. 59-63 ◽  
Author(s):  
Claire Topliss ◽  
Jonathan Webb
Author(s):  
Julian Feller

♦ The principal indication for ACL reconstruction is instability, either existent or predicted♦ In general, it is crucial that the knee has settled and motion has been restored prior to surgery♦ Accurate tunnel position is the most important aspect of surgery


2018 ◽  
Vol 71 (1-2) ◽  
pp. 15-20
Author(s):  
Vladimir Ristic ◽  
Nenad Ristic ◽  
Vladimir Harhaji ◽  
Mile Bjelobrk ◽  
Vukadin Milankov

Introduction. The aim of the study was to analyze the tibial tunnel position after anterior cruciate ligament reconstruction. Material and Methods. The study included 830 patients who underwent this operative procedure. There were four times more male than female patients. The tibial tunnel placement was analyzed on frontal and lateral radiograph images of the knee joint. Results. The average frontal tibial index was 55% (35 - 68%), the average frontal tibial angle was 75 degrees (58 - 90), the sagittal tibial index was 30% (15 - 52%) and the sagittal tibial angle was 68 degrees (50 - 89). Conclusion. A significant deviation from these values may potentially lead to failure of the anterior cruciate ligament reconstruction.


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