Anteromedial Femoral Tunnel Placement Reduces Graft Failure Risk Without Affecting Rotational Stability in Anatomic Single‐Bundle Anterior Cruciate Ligament Reconstruction: A Systematic Review
Haitham Kamel Haroun, Amr Mohamed Abdelhady, Mohamed Abdallah Obied, Mostafa Aly Elabd · 2026
Read Anteromedial Femoral Tunnel Placement Reduces Graft Failure Risk Without Affecting Rotational Stability in Anatomic Single‐Bundle Anterior Cruciate Ligament Reconstruction: A Systematic Review by Haitham Kamel Haroun, Amr Mohamed Abdelhady, Mohamed Abdallah Obied, Mostafa Aly Elabd (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13570460.txt.
Description
Haitham Kamel Haroun and three co-authors review in 2026 where surgeons should drill the thigh tunnel in knee ligament repair. In rebuilding a torn anterior cruciate ligament, the graft passes through tunnels in thigh and shin bones. Placing the thigh tunnel at the inner bundle spot rather than the center spot might change failure rates and looseness.
Six studies with eight hundred forty-one patients were pooled qualitatively. The inner placement cut graft failure risk by roughly three-quarters in two studies, with no clear difference in rotational looseness. Score and stability gains were small and mixed, and most studies carried serious bias risk. The reviewers urge caution despite the promising failure signal.
Catalog record
| CREATOR | Haitham Kamel Haroun, Amr Mohamed Abdelhady, Mohamed Abdallah Obied, Mostafa Aly Elabd |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 37 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |