References / Resources

Improved ACL Reconstruction and Hybrid Transtibial Technique Pathfinder™ ACL System


Hybrid Transtibial ACL Reconstruction: Advantages and Surgical Technique

This video demonstrates the hybrid transtibial technique for ACL reconstruction.

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Short Overview Video

This is a short video showing the operative sequence.

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Technique Tips

This brief video provides tips for performing the hybrid transtibial technique.

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Hybrid Transtibial Revision of Primary Transtibial Femoral Tunnel

Video highlighting the revision of a primary transtibial femoral tunnel.

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Mayo Clinic Sports Medicine: Anterior Cruciate Ligament Tunnel Placement Using the Pathfinder Guide

This is a technique video for ACL tunnel placement using the Pathfinder ACL guide.

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Clinical Outcomes of a Novel Hybrid Transtibial Technique for Femoral Tunnel Drilling in Anterior Cruciate Ligament Reconstruction: A Large Single-Center Case Series With a Minimum 2-Year Follow-up.

Hong IS, Ifarraguerri AM, Berk AN, Trofa DP, Piasecki DP, Saltzman BM. Orthop J Sports Med. 2024 Jun 4;12(6):23259671241242778. doi: 10.1177/23259671241242778. eCollection 2024 Jun. PMID: 39131489

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Finite element graft stress for anteromedial portal, transtibial, and hybrid transtibial femoral drillings under anterior translation and medial rotation: an exploratory study.

Yañez R, Silvestre R, Roby M, Neira A, Azar C, Madera S, Ortiz-Bernardin A, Carpes FP, De la Fuente C. Sci Rep. 2024 May 24;14(1):11922. doi: 10.1038/s41598-024-61061-y. PMID: 38789542

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The Hybrid Transtibial Technique for Femoral Tunnel Drilling in Anterior Cruciate Ligament Reconstruction: A Finite Element Analysis Model of Graft Bending Angles and Peak Graft Stresses in Comparison With Transtibial and Anteromedial Portal Techniques.

Saltzman BM, Wang S, Habet NA, Hong IS, Trofa DP, Meade JD, Fleischli JE, Piasecki DP. J Am Acad Orthop Surg. 2022 Sep 15;30(18):e1195-e1206. doi: 10.5435/JAAOS-D-21-00883. PMID: 36001883

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A Hybrid Transtibial Technique Combines the Advantages of Anteromedial Portal and Transtibial Approaches: A Prospective Randomized Controlled Trial.

Trofa DP, Saltzman BM, Corpus KT, Connor PM, Fleischli JE, Piasecki DP. Am J Sports Med. 2020 Nov;48(13):3200-3207. doi: 10.1177/0363546520956645. Epub 2020 Oct 5. PMID: 33017169 Clinical Trial.

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Transtibial Versus Anteromedial Portal ACL Reconstruction: Is a Hybrid Approach the Best?

Jennings JK, Leas DP, Fleischli JE, D'Alessandro DF, Peindl RD, Piasecki DP. Orthop J Sports Med. 2017 Aug 7;5(8):2325967117719857. doi: 10.1177/2325967117719857. eCollection 2017 Aug. PMID: 28840144

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