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We thank Drs. Hoshino and Fu for their excellent and insightful comments. We completely agree with their assessment and recognize that meticulous attention to AM portal placement or use of an accessory medial portal may avoid many of the technical issues discussed in this study. In fact, we continue to use an AM portal reaming technique for independent socket preparation during anterior cruciate ligament reconstruction. Rather, the primary conclusion from this study is that there is a significant risk of short tunnel length or posterior wall compromise with use of conventional offset guides with AM portal reaming. When an AM portal drilling technique is used, the guide pin may be better placed by a freehand technique that references the native footprint anatomy. Use of an offset guide that indirectly references from osseous anatomy may paradoxically increase the risk of critically short tunnel length and provide a false sense of protection against posterior wall blowout.