OTT 🎯 is Close-to-Anatomic
Is Over-The-Top Reconstruction Anatomical?
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Answer 👇
Coming
Is Over-The-Top Reconstruction Anatomical?
We’ve long defined “anatomic” ACL reconstruction by the presence and position of femoral tunnels — measured on X-ray and CT. But Over-the-Top reconstruction doesn’t use a femoral tunnel.
But when graft orientation is assessed objectively on MRI, Over-the-Top falls within native ACL limits — matching contemporary drilling techniques and clearly outperforming the transtibial technique.
Perhaps being “anatomical” is not just about where you drill, but how the graft actually lies.