Intertunnel Relationships in the Tibia During Reconstruction of Multiple Knee Ligaments: How to Avoid Tunnel Convergence

Conclusion: There is a high risk of tunnel convergence in the proximal tibia during the reconstruction of multiple knee ligaments. Aiming the POL tunnel 15 mm medial to the Gerdy tubercle and the sMCL tunnel transversely across the tibia (anterior to the fibula) and 30° distal to the horizontal plane reduces the risk of tunnel convergence. Clinical Relevance: The tunnel orientation of the POL and sMCL on the tibia should be adjusted to avoid convergence with the PCL tunnel during multiple ligament knee reconstruction.
Source: The American Journal of Sports Medicine - Category: Sports Medicine Authors: Tags: Knee ligaments, multiple ligament injuries Source Type: research