Outcome of Single-Bundle Hamstring Anterior Cruciate Ligament Reconstruction Using the Anteromedial Versus the Transtibial Technique: A Systematic Review and Meta-analysis

CORR Insights®: Does Anteromedial Portal Drilling Improve Footprint Placement in Anterior Cruciate Ligament Reconstruction?

“…This finding is consistent with previous studies for the transtibial group [2,5], but not for independently drilled tunnels. However, at short-term followup, the study groups were comparable in terms of knee stability and patient-reported outcomes.…”

“…Two recently published meta-analyses [2,5] showed that ACL reconstruction with independently-drilled tunnels results in more anatomic femoral and tibial bone tunnels. In particular, the femoral posterolateral bundle of the ACL is missed with the transtibial technique.…”

The Influence of Knee Flexion Angle for Graft Fixation on Rotational Knee Stability During Anterior Cruciate Ligament Reconstruction: A Biomechanical Study

“…However, these technique variations may lead to a shorter tibial tunnel and intra-articular tibial tunnel aperture widening. 21,22 Recently, Chen et al 23 performed a meta-analysis of the outcome of singlebundle hamstring ACL reconstruction using the AM versus the transtibial technique. They reported the superiority of the surgeon-recorded stability according to the International Knee Documentation Committee knee score, Lachman test, and pivot-shift test for the AM technique.…”

Technical Considerations in Revision Anterior Cruciate Ligament Reconstruction for Operative Techniques in Orthopaedics

“…39, 40 Anatomic ACL reconstruction has been widely shown to result in improved knee joint kinematics, resulting in better knee health, but has been also reported to be associated with an increased re-tear rate due to increased in-situ graft forces. 41–44 Furthermore, graft fixation methods, time to return to sports, activity level, trunk and lower extremity muscle function, generalized ligamentous laxity, age, gender, presence of associated injuries such as under-appreciated meniscal tears or anterolateral rotatory instability, and bony morphology of the knee and extremity can all contribute to graft survival in primary ACL reconstruction. 45, 46, 21, 47, 14, 48, 49 …”