title: Tibia rotational technique to drill femoral bone tunnel in anatomic double-bundle anterior cruciate ligament reconstruction.
abstract: In anatomic anterior cruciate ligament (ACL) reconstruction, several pitfalls in creating the femoral bone tunnels at the correct position are of great concern. Our new method, the tibia rotational (TR) technique, may contribute to resolving these. The purpose of this study is to describe further details about the TR technique in anatomic double-bundle ACL reconstruction. Both anteromedial and posterolateral femoral bone tunnels were drilled through a posterolateral tibial bone tunnel using tibial rotation without deep knee flexion. When it is difficult to reach the mark with the rigid guide pin, the narrow curved TR technique guide and the flexible drill system allow drilling femoral bone tunnels in the correct position. The TR technique offers the technical ease required for widespread acceptance while prioritizing the fundamental goals of an anatomic double-bundle ACL reconstruction.
authors.affiliation: Department of Orthopaedic Surgery, Tokai University Oiso Hospital, Kanagawa, Japan.
authors.forename: Genya
authors.initials: G
authors.lastname: Mitani
authors.affiliation: The Department of Orthopaedic Surgery, Surgical Science, Tokai University School of Medicine, Kanagawa, Japan.
authors.forename: Tomonori
authors.initials: T
authors.lastname: Takagaki
authors.affiliation: Department of Orthopaedic Surgery, Tokai University Oiso Hospital, Kanagawa, Japan.
authors.forename: Kosuke
authors.initials: K
authors.lastname: Hamahashi
authors.affiliation: The Department of Orthopaedic Surgery, Surgical Science, Tokai University School of Medicine, Kanagawa, Japan.
authors.forename: Nagatoshi
authors.initials: N
authors.lastname: Kaneshiro
authors.affiliation: The Department of Orthopaedic Surgery, Surgical Science, Tokai University School of Medicine, Kanagawa, Japan.
authors.forename: Kenji
authors.initials: K
authors.lastname: Serigano
authors.affiliation: The Department of Orthopaedic Surgery, Surgical Science, Tokai University School of Medicine, Kanagawa, Japan.
authors.forename: Takashi
authors.initials: T
authors.lastname: Maeda
authors.affiliation: The Department of Physical Recreation, School of Physical Education, Tokai University, Kanagawa, Japan.
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Nakamura
authors.affiliation: The Department of Orthopaedic Surgery, Surgical Science, Tokai University School of Medicine, Kanagawa, Japan.
authors.forename: Joji
authors.initials: J
authors.lastname: Mochida