Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Jan 15;35(1):118-123.
doi: 10.7507/1002-1892.202005003.

[Progress of different methods for femoral tunnel positioning in anterior cruciate ligament reconstruction]

[Article in Chinese]
Biying Huang  1 , Wenyu Deng  1 , Tao Li  2 , Qi Li  2
Affiliations

[Progress of different methods for femoral tunnel positioning in anterior cruciate ligament reconstruction]

[Article in Chinese]
Biying Huang et al. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. .

Abstract
in English, Chinese

Objective: To systematically review the progress of different methods for femoral tunnel positioning in anterior cruciate ligament (ACL) reconstruction and provide a clinical reference for treatment of ACL rupture.

Methods: The literature about the femoral tunnel positioning in ACL reconstruction was widely reviewed. The advantages and disadvantages and the clinical results of each method were summarized.

Results: Currently in ACL reconstruction, methods for femoral tunnel positioning include transtibial technique (TT), anteromedial technique (AM), outside-in (OI), modified TT (mTT), and computer assisted surgery. There is no significant difference in the postoperative effectiveness between TT technique and AM technique. Compared with the TT technique, the OI technique has higher rotational stability of knee, but there is no significant difference in clinical results. The femoral tunnel located by mTT technique is closer to the anatomical placement than that of TT technique, but mTT technique is not effective for systematically anatomic femoral tunnel positioning, and further research is needed to prove its advantages.

Conclusion: Different femoral tunnel positioning methods have their own advantages and disadvantages, and there is no definite evidence that one is superior than the rest.

目的: 对前交叉韧带（anterior cruciate ligament，ACL）重建术中股骨隧道定位方法的研究进行综述，为临床治疗提供参考。.

方法: 查阅近年与 ACL 重建术中股骨隧道定位方法相关的文献，总结并比较其各自优缺点及临床结果。.

结果: 目前在 ACL 重建术中，股骨隧道定位方法有经胫骨隧道法（transtibial technique，TT）、经前内侧入路法（anteromedial technique，AM）、由外向内法（outside-in，OI）、改良 TT 法（modified TT，mTT）以及计算机导航系统。采用 TT 法与 AM 法建立股骨隧道在临床效果方面无显著差异。采用 OI 法建立股骨隧道相较于 TT 法在术后膝关节有更高的旋转稳定性，但临床效果也无显著差异。mTT 法相较于 TT 法股骨隧道放置更接近解剖止点，但仍未达到理想解剖定位，其优势还需进一步研究。.

结论: 不同股骨隧道定位方式各有优劣，目前尚无明确证据表明其中一种有绝对优势。.

Keywords: Anterior cruciate ligament reconstruction; effectiveness; femoral tunnel positioning; graft.

PubMed Disclaimer

Conflict of interest statement

利益冲突：所有作者声明，在文章撰写过程中不存在利益冲突。

Similar articles

See all similar articles

References

    1. Nakamura T, Koga H, Otabe K, et al Comparison of three approaches for femoral tunnel during double-bundle anterior cruciate ligament reconstruction: A case controlled study. J Orthop Sci. 2019;24(1):147–152. doi: 10.1016/j.jos.2018.08.014. - DOI - PubMed
    1. Hefzy MS, Grood ES, Noyes FR Factors affecting the region of most isometric femoral attachments. Part Ⅱ: The anterior cruciate ligament. Am J Sports Med. 1989;17(2):208–216. - PubMed
    1. Giron F, Cuomo P, Aglietti P, et al Femoral attachment of the anterior cruciate ligament. Knee Surg Sports Traumatol Arthrosc. 2006;14(3):250–256. doi: 10.1007/s00167-005-0685-y. - DOI - PubMed
    1. Venosa M, Delcogliano M, Padua R, et al Femoral tunnel positioning in anterior cruciate ligament reconstruction: Anteromedial portal versus transtibial technique-a randomized clinical trial. Joints. 2017;5(1):34–38. doi: 10.1055/s-0037-1601413. - DOI - PMC - PubMed
    1. 李飞龙, 罗小辑, 梁熙, 等 前交叉韧带解剖研究进展及其对韧带重建技术的影响. 中国修复重建外科杂志. 2018;32(3):377–381. - PMC - PubMed

Publication types

MeSH terms

LinkOut - more resources