Editorial Commentary: The Number One Cause of Anterior Cruciate Ligament Reconstruction Graft Failure Is a Misplaced Femoral Tunnel: Over-the-Top Technique Plus Lateral Extra-Articular Tenodesis Is Recommended.
editorial · Level V
Where this comes from
- Record sourced from PubMed, PMID 38296446.
- Also identified by DOI 10.1016/j.arthro.2023.07.021.
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Abstract
Patient factors (notably high tibial slope and narrow femoral intercondylar notch width) and surgical factors (including meniscus treatment and anterior cruciate ligament [ACL] tunnel position) contribute to ACL reconstruction failure. The number one cause of failure is a misplaced ACL femoral tunnel. Tunnel malposition leads to a higher incidence of postoperative meniscal lesions, inferior clinical outcomes, and higher revision rates.
Medical subject headings
- Tenodesis
- Anterior Cruciate Ligament Reconstruction
- Anterior Cruciate Ligament Injuries
Anatomy
- femur
- tibia
- knee