All-Inside Tibial Tunnel Drilling: How to Calculate a Safe Drilling Length to Avoid Anterior Cortex Violation

The all-inside technique for bone tunnel drilling during ligament reconstruction procedures (ACL, PCL etc.) is gaining popularity as a bone preserving, less invasive technique with the potential for more rapid recovery. To preserve the advantages of closed-socket tunnels, it is essential not to viol...

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Detalles Bibliográficos
Autores principales: Zanchi, Nicolò, Posner, Matthew, Herickhoff, Paul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Technical Note
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9827196/
https://www.ncbi.nlm.nih.gov/pubmed/36632400
http://dx.doi.org/10.1016/j.eats.2022.08.044
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author Zanchi, Nicolò
Posner, Matthew
Herickhoff, Paul
author_facet Zanchi, Nicolò
Posner, Matthew
Herickhoff, Paul
author_sort Zanchi, Nicolò
collection PubMed
description The all-inside technique for bone tunnel drilling during ligament reconstruction procedures (ACL, PCL etc.) is gaining popularity as a bone preserving, less invasive technique with the potential for more rapid recovery. To preserve the advantages of closed-socket tunnels, it is essential not to violate the cortex during retro-drilling. The risk of cortical breach is higher with the tibial tunnel compared to the femoral one due to the obliquity of the tunnel relative to the cortex. Our purpose is to introduce a trigonometric formula, which allows the surgeon to calculate the safe tibial tunnel drilling length during all-inside ligament reconstruction and explain its proof.
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spelling pubmed-98271962023-01-10 All-Inside Tibial Tunnel Drilling: How to Calculate a Safe Drilling Length to Avoid Anterior Cortex Violation Zanchi, Nicolò Posner, Matthew Herickhoff, Paul Arthrosc Tech Technical Note The all-inside technique for bone tunnel drilling during ligament reconstruction procedures (ACL, PCL etc.) is gaining popularity as a bone preserving, less invasive technique with the potential for more rapid recovery. To preserve the advantages of closed-socket tunnels, it is essential not to violate the cortex during retro-drilling. The risk of cortical breach is higher with the tibial tunnel compared to the femoral one due to the obliquity of the tunnel relative to the cortex. Our purpose is to introduce a trigonometric formula, which allows the surgeon to calculate the safe tibial tunnel drilling length during all-inside ligament reconstruction and explain its proof. Elsevier 2022-11-18 /pmc/articles/PMC9827196/ /pubmed/36632400 http://dx.doi.org/10.1016/j.eats.2022.08.044 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Technical Note
Zanchi, Nicolò
Posner, Matthew
Herickhoff, Paul
All-Inside Tibial Tunnel Drilling: How to Calculate a Safe Drilling Length to Avoid Anterior Cortex Violation
title All-Inside Tibial Tunnel Drilling: How to Calculate a Safe Drilling Length to Avoid Anterior Cortex Violation
title_full All-Inside Tibial Tunnel Drilling: How to Calculate a Safe Drilling Length to Avoid Anterior Cortex Violation
title_fullStr All-Inside Tibial Tunnel Drilling: How to Calculate a Safe Drilling Length to Avoid Anterior Cortex Violation
title_full_unstemmed All-Inside Tibial Tunnel Drilling: How to Calculate a Safe Drilling Length to Avoid Anterior Cortex Violation
title_short All-Inside Tibial Tunnel Drilling: How to Calculate a Safe Drilling Length to Avoid Anterior Cortex Violation
title_sort all-inside tibial tunnel drilling: how to calculate a safe drilling length to avoid anterior cortex violation
topic Technical Note
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9827196/
https://www.ncbi.nlm.nih.gov/pubmed/36632400
http://dx.doi.org/10.1016/j.eats.2022.08.044
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