ArticleOrthopaedic journal of sports medicine2025
Impact of Anterolateral Ligament Femoral Tunnel Orientation on Tunnel Collision and Clinical Outcomes in Combined ACL and ALL Reconstruction.
Article in Orthopaedic journal of sports medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Optimizing Drilling Orientation for the ALL Femoral Tunnel During Anterolateral Augmentation Procedures For Minimizing Collision With the ACL Tunnel Created Using Modified Transtibial Technique.Orthopaedic journal of sports medicine · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Tunnel collision during ligament surgery may impact graft integrity and fixation, potentially influencing surgical outcomes. Identifying the optimal anterolateral ligament (ALL) femoral tunnel orientation is therefore important to improve the overall success of combined anterior cruciate ligament (ACL) reconstruction (ACLR) and ALL reconstruction (ALLR). Purpose: To investigate whether the orientation of the ALL femoral tunnel in combined ACLR and ALLR affects the risk of femoral tunnel collision and subsequent clinical outcomes. Study Design: Cohort study; Level of evidence, 3. Methods: Medical records of patients who underwent combined ACLR and ALLR from 2018 to 2022 were reviewed, and those with at least 2 years of follow-up were evaluated. Patients were classified based on the orientation of the ALL femoral tunnel as targeted at the time of surgery, with tunnels created at 30° axial and 30° coronal (Group P) or 0° axial and -40° coronal (Group D). Between-group comparisons were conducted for radiological parameters-including the characteristics of the ACL and ALL femoral tunnels, tunnel collision rates, minimal distance between the tunnels (MDBT), and collision volumes-assessed using 3-dimensional knee models from postoperative computed tomography scans. In addition, functional scores, knee laxity, and intraoperative data were analyzed. Results: A total of 64 patients were included. Group D exhibited a significantly lower tunnel collision rate compared with group P (68.8% and 6.3% in groups P and D, respectively; Conclusion: Distally directed drilling for the ALL femoral tunnel reduced the risk of tunnel collision in combined ACL and ALL procedures without compromising clinical outcomes. Although the tunnel collision itself did not affect surgical outcomes, distal drilling significantly reduced surgical time by minimizing collision risk, thereby optimizing the surgical process.
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.