Published: 2016-12-29

Assessment of foot print of femoral tunnel placement with commercially available off set guide in arthroscopic ACL reconstruction

Vinay Tantuway, S. A. Mustafa Johar, Viral Patel, Ashok Nagla, Rishi Gupta, Pawan Bhambani


Background: Accurate placement of the femoral tunnel is critical for long-term clinical success following anterior cruciate ligament (ACL) reconstruction.  Current trends in ACL reconstruction favor anatomic positioning of ACL attachment sites. Surgical inaccuracy in femoral tunnel positioning can lead to potential early graft failure and early-onset osteoarthritis. The purpose of this study was to evaluate the functional outcome in patients who underwent arthroscopic anatomic ACL reconstruction using hamstring tendon graft.

Methods: The study was conducted in the Orthopedics Department of IIMCHRC, Indore the placement of femoral tunnel, using femoral off set guide with other techniques. All the patients who were diagnosed clinically and radiologically with ACL tear and all who gave the consent were included in the study. All patients were enrolled to undergo primary arthroscopically assisted ACL reconstruction.

Results: In the present study out of 42 patients; 23 patients (55%) had right sided ACL injury and remaining 19 patients (45%) had left sided ACL injury. We assessed functional outcome of the patients through pre-operative and post-operative IKDC scoring. The mean of the pre-op IKDC scoring was 33.61 with SD of 9.67 and the mean of the post-operative IKDC scoring was 77.95 with SD of 15.15.

Conclusions: The commercially available off set guide technique of the femoral tunnel placement in arthroscopic ACL reconstruction is easy, reliable and reproducible with the foot print at anatomical place on the femoral site.


Anterior cruciate ligament (ACL), Femoral tunnel, Arthroscopy, ACL reconstruction

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