Anatomy Two functional bundles of the anterior cruciate ligament (ACL), the anteromedial (AM) and posterolateral (PL), were first described in 1836 ( Fig. 6.1 ). On the femoral insertion site, two osseous landmarks can be identified. The lateral intercondylar ridge…
Introduction Stable graft fixation is critical for a successful outcome after anterior cruciate ligament reconstruction (ACLR). The advantages of early joint motion and weight bearing after ACLR have been well documented. Anterior cruciate ligament (ACL) graft fixation must provide sufficient…
Introduction Modern techniques in anterior cruciate ligament reconstruction (ACLR) continue to evolve as surgeons endeavor to restore the anatomy and kinematics of the native knee. Among the reported complications associated with ACLR, tunnel malposition has been recognized as the most…
OVERVIEW Chapter synopsis The goal of anatomic anterior cruciate ligament (ACL) reconstruction is functional restoration of the ACL to its native dimensions and insertion sites. Patient-specific factors, including age, activity level, and future goals are important considerations during preoperative planning.…
* The authors are grateful for the editorial assistance of Ryan J. Warth, MD (Department of Orthopaedic Surgery, University of Texas Health Science Center at Houston), Jorge Chahla, MD (Steadman Philippon Research Institute, Vail, CO), and Lavanya Rajagopalan, PhD. Introduction…