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 Jun

5. Comparison of Femoral Tunnel Position and Clinical Results 40 Knee’s
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 Medial Portal versus Transtibial : A Single-Surgeon Experience
Rothman Institute, Philadelphia, PA, USA

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
TT or TP

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. این زانو ها حتما یکی از این موارد داشته اند
Cilinical Test + ++
Lachman Test 10 2
این زانو ها حتما یکی از این موارد داشته اند
A.D.Test 15 5
L.P.S.TEST 17

15. جدول نتایج مقیاس IKDC بیماران یکسال پس از جراحی
IKDC Score
جدول نتایج مقیاس IKDC بیماران یکسال پس از جراحی
تعداد کل D C B A
عالی
113 4 16 10 83
خوب
3.54%
14.16%
8.85%
73.45%
قابل قبول
غیرقابل قبول 9 5 3 1 زن
104 11 7 82
مرد