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Transtibial versus Transportal ACL recostruction

Dive into the debate of Transtibial versus Transportal ACL reconstruction techniques and their impact on femoral tunnel placement. Explore clinical results and functional outcomes of these procedures based on a study with 40 knees at Ulsan University Hospital. Investigate the challenges and conclusions of Transportal ACL reconstruction as per a single-surgeon experience at Rothman Institute, Philadelphia, USA.

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Transtibial versus Transportal ACL recostruction

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  1. Transtibial versus Transportal ACL recostruction

  2. History • 1-Isometric • 2-Double Bundle • 3-Anatomic Single Bundle

  3. Anatomic

  4. Anterior cruciate ligament reconstruction: can anatomic femoral placement be achieved with a transtibial technique?8 fresh frozen adult knee’s . . . . Am J Sport Medicin 2011 Jun

  5. Modified Transtibial Versus Anteromedial Portal Technique in Anatomic Single-Bundle Anterior Cruciate Ligament Reconstruction Comparison of Femoral Tunnel Position and Clinical Results 40 Knee’s Ulsan University Hospital September 2014

  6. Functional Outcomes of Anatomic Anterior Cruciate Ligament Reconstruction: Accessory MedialPortal versus Transtibial : A Single-Surgeon Experience Rothman Institute, Philadelphia, PA, USA 2015

  7. Transportal Difficulties • 1- Flextion position 120 • 2-Soft tissue injury (Fat Pad) • 3-short femoral canal (25 , 35 mm) • 4-Spongy Bone • 5- Use of pump • 6-Fixation Device

  8. Conclusion TTorTP

  9. ACL Reconstruction • Single Bundle Anatomic • Hamstring or Allograft • Exobutton Femoral fixation • Tibial Double fixation • Transtibial

  10. ACL Reconstruction • During 1393 • 113 Patient’s • Evaluation by IKDC & Physical Examination • Before surgery after 3 Month & 6 month & 1 Year

  11. Cilinical Test

  12. IKDC Score

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