TY - JOUR
T1 - All-Inside Tibial Tunnel Drilling
T2 - How to Calculate a Safe Drilling Length to Avoid Anterior Cortex Violation
AU - Zanchi, Nicolò
AU - Posner, Matthew
AU - Herickhoff, Paul
N1 - Publisher Copyright:
© 2022 The Authors
PY - 2022/12
Y1 - 2022/12
N2 - The all-inside technique for bone tunnel drilling during ligament reconstruction procedures (ACL, PCL etc.) is gaining popularity as a bone preserving, less invasive technique with the potential for more rapid recovery. To preserve the advantages of closed-socket tunnels, it is essential not to violate the cortex during retro-drilling. The risk of cortical breach is higher with the tibial tunnel compared to the femoral one due to the obliquity of the tunnel relative to the cortex. Our purpose is to introduce a trigonometric formula, which allows the surgeon to calculate the safe tibial tunnel drilling length during all-inside ligament reconstruction and explain its proof.
AB - The all-inside technique for bone tunnel drilling during ligament reconstruction procedures (ACL, PCL etc.) is gaining popularity as a bone preserving, less invasive technique with the potential for more rapid recovery. To preserve the advantages of closed-socket tunnels, it is essential not to violate the cortex during retro-drilling. The risk of cortical breach is higher with the tibial tunnel compared to the femoral one due to the obliquity of the tunnel relative to the cortex. Our purpose is to introduce a trigonometric formula, which allows the surgeon to calculate the safe tibial tunnel drilling length during all-inside ligament reconstruction and explain its proof.
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U2 - 10.1016/j.eats.2022.08.044
DO - 10.1016/j.eats.2022.08.044
M3 - Article
C2 - 36632400
AN - SCOPUS:85145616948
SN - 2212-6287
VL - 11
SP - e2371-e2381
JO - Arthroscopy Techniques
JF - Arthroscopy Techniques
IS - 12
ER -