Eccentric Reaming to Correct Nonanatomic Anterior Cruciate Ligament Tibial Tunnel Placement

Abstract

Anatomic tibial tunnel placement remains an essential aspect of anterior cruciate ligament reconstruction success. Incorrect placement is a common cause of failure and revision reconstruction. Our technique allows repositioning a suboptimal tibial tunnel without the need to remove the initial guide pin for proper tunnel placement. The use of the eccentric reaming technique allows for this to take place, ensuring the more likely success of anterior cruciate ligament reconstruction procedures.