Endoscopic ACL reconstruction is one of the most successful and commonly performed orthopedic operations, yet there is considerable variability in the techniques employed. A growing body of literature is confirming that anatomic placement of tibial and femoral attachments results in improved knee stability and biomechanical performance of the graft. Some authors have questioned whether the most common technique – a transtibial, single-bundle reconstruction – can effectively recreate both femoral and tibial ACL insertions.
Recent reports have suggested that a traditional transtibial technique cannot practically accomplish an anatomic ACL reconstruction. This study by Dr. Verma hypothesized that the degree to which a transtibial technique can anatomically position both tibial and femoral tunnels is highly dependent on tibial tunnel starting position.