Huang Biying, Deng Wenyu, Li Tao, Li Qi
West China School of Medicine, Sichuan University, Chengdu Sichuan, 610041, P.R.China.
Department of Orthopedics, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R.China.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2021 Jan 15;35(1):118-123. doi: 10.7507/1002-1892.202005003.
To systematically review the progress of different methods for femoral tunnel positioning in anterior cruciate ligament (ACL) reconstruction and provide a clinical reference for treatment of ACL rupture.
The literature about the femoral tunnel positioning in ACL reconstruction was widely reviewed. The advantages and disadvantages and the clinical results of each method were summarized.
Currently in ACL reconstruction, methods for femoral tunnel positioning include transtibial technique (TT), anteromedial technique (AM), outside-in (OI), modified TT (mTT), and computer assisted surgery. There is no significant difference in the postoperative effectiveness between TT technique and AM technique. Compared with the TT technique, the OI technique has higher rotational stability of knee, but there is no significant difference in clinical results. The femoral tunnel located by mTT technique is closer to the anatomical placement than that of TT technique, but mTT technique is not effective for systematically anatomic femoral tunnel positioning, and further research is needed to prove its advantages.
Different femoral tunnel positioning methods have their own advantages and disadvantages, and there is no definite evidence that one is superior than the rest.
系统回顾前交叉韧带（ACL）重建术中不同股骨隧道定位方法的进展，为ACL断裂的治疗提供临床参考。
广泛查阅关于ACL重建术中股骨隧道定位的文献。总结每种方法的优缺点及临床结果。
目前在ACL重建中，股骨隧道定位方法包括经胫骨技术（TT）、前内侧技术（AM）、由外向内技术（OI）、改良经胫骨技术（mTT）和计算机辅助手术。TT技术和AM技术术后疗效无显著差异。与TT技术相比，OI技术膝关节旋转稳定性更高，但临床结果无显著差异。mTT技术定位的股骨隧道比TT技术更接近解剖位置，但mTT技术对系统解剖股骨隧道定位无效，需要进一步研究以证明其优势。
不同的股骨隧道定位方法各有优缺点，尚无明确证据表明一种方法优于其他方法。
