Editorial Commentary: Does "No Difference" Really Mean "No Difference"? Not All Anterior Cruciate Ligament Transtibial Drilling Techniques Are Created Equal.

Abstract

Despite the preponderance of biomechanical data suggesting that independent femoral tunnel drilling results in more favorable knee kinematics and superior anterior cruciate ligament footprint restoration when compared with transtibial tunnel drilling, equivalent clinical outcomes associated with both techniques continue to be reported. However, readers could contemplate the meaning of "clinical equivalence" and, perhaps, find themselves wanting better ways to detect differences between surgical techniques.