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Researchers have used cadaveric knees are ten to compare the techniques of drilling and transtibial anterior portal. The researchers found that the transtibial technique could not reproduce the position of the LCD, while the anterior portal drilling technique could better restore the anatomy of origin. Transtibial technique has also presented other concerns. ‘In the preparation of the femoral tunnel using the transtibial technique, the tibial tunnel is accidentally re-bored as much as 30 % and can lead to a significant expansion of the zero time tunnel,’ said Dr Bedi. Transtibial reconstruction also brought down the medial portal, a series of biomechanical stability parameters measured with computer navigation.

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‘We found that the anatomy was better reproduced by the technique of drilling compared to the prior art transtibial portal,’ said Asheesh Bedi, MD, sports medicine and shoulder surgery at the Hospital for Special Surgery who participated in the study.

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