Abstract
Aims: The aim of this study was to assess the reproducibility of intra-operative landmarks for tunnel placement in single bundle 4 strand hamstring tendon ACL reconstruction and establish its effect on long-term clinical outcome. Methodology: 200 patients undergoing isolated ACL reconstruction were prospectively followed for 7 years with full IKDC and radiographs. Results and conclusions: We recommend that optimal clinical outcome at 7 years is associated with radiological tunnel placement in the following orientation based on those patients who achieved an “ideal” clinical outcome.
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