Specialized Toolkit Series: ACL Reconstruction-Transtibial ACL Reconstruction

Video Transcription

Video Summary

This video discusses the trans-tibial ACL reconstruction technique, which, while traditional, risks a high femoral tunnel and vertical graft orientation, affecting rotatory stability. It offers excellent AP stability and simplifies graft passage. Despite its declining popularity compared to outside-in and anteromedial portal methods, it remains useful, notably with obese patients where other techniques face challenges. Key steps include anatomic tibial tunnel creation, ensuring a larger tibial than femoral tunnel for easier graft alignment. The technique involves strategic drill paths in the tibia and femur, ensuring secure graft fixation with precise cortical fixation.

Asset Caption

David C. Flanigan, M.D.
Jelle P. van der List, M.D., Ph.D.

Keywords

ACL reconstruction

trans-tibial technique

femoral tunnel

graft fixation

tibial tunnel