Transtibial versus Transportal ACL recostruction

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

9. Conclusion TTorTP

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

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

14. Cilinical Test

15. IKDC Score