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Effect of femoral tunnel position on stability and clinical outcomes after single-bundle anterior cruciate ligament reconstruction using the outside-in technique

Arthroscopy Apr 15, 2019

Seo SS, et al. - A sum of 137 participants were analyzed to examine the consequences of femoral tunnel location in the femoral footprint of the anterior cruciate ligament (ACL) on postoperative knee stability and clinical outcomes following ACL reconstruction (ACLR) using the outside-in technique from December 2012 to August 2014. They assigned 31 subjects to the anterior group, 46 to the center group, and 25 to the posterior group. Using stress radiographs and the GNRB arthrometer, postoperative side-to-side differences were significantly smaller in the posterior group (1.7 ± 0.6 mm and 1.5 ± 0.5 mm, respectively) as compared to the center group (2.3 ± 0.9 mm and 2.2 ± 2.8 mm, respectively) and anterior group (2.4 ± 0.7 mm and 2.4 ± 1.3 mm, respectively). Among the 3 groups, they observed no significant between-group differences in the pivot-shift test results and patient-reported outcomes.
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