title: Transitioning to anatomic anterior cruciate ligament graft placement.
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.
authors.affiliation: Department of Orthopedic Surgery, Division of Sports Medicine, University of Toledo Medical Center Toledo, Ohio 43614, USA.
authors.forename: David H
authors.initials: DH
authors.lastname: Sohn
authors.forename: William E
authors.initials: WE
authors.lastname: Garrett
mesh_terms: D016118:Anterior Cruciate Ligament / Q000601:surgery / Q000637:transplantation*; D019645:Arthroplasty, Replacement, Knee / Q000379:methods*; D001696:Biomechanical Phenomena; D019317:Evidence-Based Medicine; D006801:Humans; D007718:Knee Injuries / Q000534:rehabilitation / Q000601:surgery*; D008592:Menisci, Tibial / Q000601:surgery; D019637:Orthopedic Procedures / Q000379:methods; D016032:Randomized Controlled Trials as Topic; D013536:Suture Techniques