title: Creation of an anatomic femoral tunnel with minimal damage to the remnant bundle in remnant-preserving anterior cruciate ligament reconstruction using an outside-in technique.
abstract: We established a method for creation of an anatomic femoral tunnel with minimal damage to the remnant bundle in remnant-preserving anterior cruciate ligament (ACL) reconstruction. The goals of this surgical technique were to preserve the remnant bundle as much as possible, especially at the femoral insertion, and to make the tunnel at the anatomic position. The critical points are that the posterior side of the femoral footprint of the ACL is observed through the posterolateral portal using a 70° arthroscope and a femoral tunnel is made by use of an outside-in technique with remnant preservation. This technique allows for easy viewing of the posterior side of the ACL and enables performance of an anatomic ACL reconstruction.
authors.affiliation: Department of Orthopaedic Surgery, Sungkyunkwan University, Kangbuk Samsung Hospital, Seoul, South Korea.
authors.forename: Jin Hwan
authors.initials: JH
authors.lastname: Ahn
authors.affiliation: Department of Orthopaedic Surgery, Seoul National University College of Medicine, Bundang Hospital, Gyeonggi-do, South Korea.
authors.forename: Yong Seuk
authors.initials: YS
authors.lastname: Lee
authors.affiliation: Department of Orthopaedic Surgery, Sungkyunkwan University, Kangbuk Samsung Hospital, Seoul, South Korea.
authors.forename: Seung Hee
authors.initials: SH
authors.lastname: Lee
references.citation: Arthroscopy. 2006 Jun;22(6):660-8
references.pmid: 16762706
references.citation: Am J Sports Med. 1991 May-Jun;19(3):243-55
references.pmid: 1867333
references.citation: Knee Surg Sports Traumatol Arthrosc. 2011 Dec;19 Suppl 1:S101-8
references.pmid: 21584719
references.citation: Arthroscopy. 2006 Nov;22(11):1249.e1-4
references.pmid: 17084307
references.citation: Arthroscopy. 2009 Jul;25(7):767-76
references.pmid: 19560641
references.citation: Am J Sports Med. 2006 Feb;34(2):194-204
references.pmid: 16303881
references.citation: Arthroscopy. 2006 Mar;22(3):340.e1-7
references.pmid: 16517320
references.citation: Am J Sports Med. 1982 Nov-Dec;10(6):329-35
references.pmid: 6897495
references.citation: Arch Orthop Trauma Surg. 2009 Aug;129(8):1011-5
references.pmid: 18299859
references.citation: Arthroscopy. 2013 Mar;29(3):522-8
references.pmid: 23332371
references.citation: Arthroscopy. 2010 Sep;26(9 Suppl):S21-34
references.pmid: 20810091
references.citation: Arthroscopy. 2010 Sep;26(9 Suppl):S2-12
references.pmid: 20810090
references.citation: Arch Orthop Trauma Surg. 2013 Aug;133(8):1121-8
references.pmid: 23712710
references.citation: Orthopedics. 2012 Oct;35(10):861-4
references.pmid: 23027473
references.citation: Arch Orthop Trauma Surg. 2000;120(3-4):128-33
references.pmid: 10738868
references.citation: Arthroscopy. 2012 Oct;28(10):1417-23
references.pmid: 22748200
references.citation: Arthroscopy. 2011 Aug;27(8):1079-89
references.pmid: 21704468
references.citation: J Bone Joint Surg Am. 1987 Feb;69(2):243-7
references.pmid: 3805085
references.citation: Knee Surg Sports Traumatol Arthrosc. 2007 Aug;15(8):1023-7
references.pmid: 17497131
references.citation: Knee Surg Sports Traumatol Arthrosc. 2008 Jun;16(6):549-52
references.pmid: 18365180
references.citation: Anat Rec. 1986 Feb;214(2):204-9
references.pmid: 3954077
references.citation: Am J Sports Med. 2010 Sep;38(9):1768-77
references.pmid: 20805412
references.citation: Clin Sports Med. 2013 Jan;32(1):xv-xvi
references.pmid: 23177473
references.citation: Arch Orthop Trauma Surg. 1995;114(4):194-8
references.pmid: 7662472
references.citation: Knee. 2011 Jan;18(1):55-8
references.pmid: 20163965
references.citation: Instr Course Lect. 2001;50:463-74
references.pmid: 11372347
references.citation: Clin Orthop Surg. 2013 Mar;5(1):26-35
references.pmid: 23467279