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J Knee Surg 2009; 22(2): 155-160
DOI: 10.1055/s-0030-1247743
Special Focus Section

© 2009 Thieme Medical Publishers

Transitioning to Anatomic Anterior Cruciate Ligament Graft Placement

David H. Sohn1 , William E. Garrett2  Jr 
  • 1The Department of Orthopedic Surgery, Division of Sports Medicine, University of Toledo Medical Center, Toledo, Ohio
  • 2The Department of Orthopedic Surgery, Duke Sports Medicine Center, Duke University Medical Center, Durham, NC
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Publication History

Publication Date:
14 January 2010 (online)

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ABSTRACT

Anterior cruciate ligament (ACL) reconstruction techniques continue to improve. Recent biomechanical studies have found improved rotational stability as femoral tunnel placement becomes more horizontal and closer to the true ACL footprint. Clinical studies also correlate improved outcomes with these more anatomic reconstructions. This article reviews the transition from traditional to anatomic ACL reconstructions, as well as 3 techniques for achieving this: the modified transtibial technique, use of an accessory medial portal, and the retrograde drilling technique.