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TransLateral ACL reconstruction: a technique for anatomic anterior cruciate ligament reconstruction

  • Knee
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Anatomic placement of the femoral tunnel in anterior cruciate ligament (ACL) reconstruction confers biomechanical advantages over the traditional tunnel position. The anteromedial portal technique for anatomic ACL reconstruction has many well-described technical challenges. This paper describes the TransLateral technique. The technique produces anatomic femoral tunnel placement using direct measurement of the medial wall of the lateral femoral condyle and out to in drilling. All work is carried out through the lateral portal with all viewing via the medial portal. There is no need for an accessory medial portal or hyperflexion of the knee.

Level of evidence Expert opinion, Level V.

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Acknowledgments

We would like to acknowledge the support of Arthrex Ltd, Naples, Florida, in helping with the development of this technique.

Conflict of interest

The senior author (AJW) works as a consultant for Arthrex.

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Authors and Affiliations

  1. Department of Orthopaedics, Basingstoke and North Hampshire NHS Foundation Trust, Aldermaston Road, Basingstoke, RG24 9NA, UK

    J. S. Logan, R. R. Elliot & A. J. Wilson

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  1. J. S. Logan
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  2. R. R. Elliot
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  3. A. J. Wilson
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Correspondence to A. J. Wilson.

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Logan, J.S., Elliot, R.R. & Wilson, A.J. TransLateral ACL reconstruction: a technique for anatomic anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 20, 1289–1292 (2012). https://doi.org/10.1007/s00167-011-1745-0

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  • DOI: https://doi.org/10.1007/s00167-011-1745-0

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