Transtibial Technique View Full Text


Ontology type: schema:Chapter     


Chapter Info

DATE

2017-03-22

AUTHORS

Kazunori Yasuda , Myung Chul Lee , Mark Clatworthy

ABSTRACT

In this chapter, we first review the history of biomechanical and clinical evaluation studies of the transtibial (TT) technique for single-bundle (SB) and double-bundle (DB) ACL reconstructions, specifically in comparison with the anteromedial portal (AMP) technique. Second, we explain about necessity of reevaluation on the utility of the modern TT techniques and that a fundamental problem exists in reevaluating the TT technique in comparison with the AMP techniques. Third, we summarize the essence of the TT technique and the theory of the anatomic femoral tunnel creation and introduce practical TT techniques for anatomic SB and DB reconstructions, respectively. The TT technique does not mean a simple technique in which a surgeon creates a femoral tunnel through a tibial tunnel created independently to the femoral tunnel. The TT technique is a technique to create the anatomical femoral tunnel through a tibial tunnel using two types of special procedures performed by a surgeon. First, a surgeon must create a tibial tunnel that goes to the most appropriate point to create an anatomical femoral tunnel. Second, the surgeon should apply an adequate amount of distraction, varus, and rotatory forces to the tibia to utilize the physiological knee laxity in the femoral tunnel creation through such a tibial tunnel. This chapter have explained that the anatomic tunnel creation can be successfully performed with the modern TT techniques in both SB and DB reconstructions, although there are some controversies concerning the anatomic femoral point on the femoral condyle. More... »

PAGES

217-231

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/978-3-662-52742-9_22

DOI

http://dx.doi.org/10.1007/978-3-662-52742-9_22

DIMENSIONS

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