Study: Drill Long Femoral Tunnel for ACL Reconstruction

Orthopedic Sports Medicine

Using a hamstring graft fixation with a cross-pin system from the anteromedial portal with 30 millimeter femoral tunnel could increases the risk of injury to the LCL, according to a study published in The American Journal of Sports Medicine.

Researchers reconstructed the ACL arthroscopically with a hamstring graft in 22 cadaver knees. The femoral tunnel was anatomically drilled with the knee flexion angle set at 110 degrees. Femoral fixation was performed was performed with a cross-pin system. In the control group of 11 knees, the femoral tunnel was drilled as long as the lateral condyle permitted.

After comparing the two groups, researchers found an increased risk to the LCL if the femoral tunnel was not drilled as long as possible.

Read the abstract on the cross-pin technique for ACL graft fixation.

Read other coverage on ACL reconstruction:

- Study: Gender Could Influence Likelihood of Dominant Leg ACL Injury

- Double-Bundle ACL Reconstruction May Increase Knee Kinematics Restoration

- PL Graft Fixation Should Not Go Above 30 Degrees for Double Bundle ACL Surgery


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