Abstract
Anterior cruciate ligament (ACL) reconstruction can be optimized when single-bundle grafts are centered within the native ligament's tibial and femoral insertions. An understanding of ACL anatomy, including surgical landmarks for tunnel placement, is critical to accomplish this task. The best method for placing the femoral tunnel requires the independent, rather than a transtibial, drilling of the femoral tunnel. A good option for drilling the femoral tunnel is to drill through an anteromedial portal, but this method is challenging because it requires a high angle of knee flexion and visualization of the femoral insertion is limited during drilling. This review provides a rationale for independent tunnel drilling in ACL reconstruction, a method for identifying the insertional anatomy of the ACL, and a method for drilling the femoral tunnel through the anteromedial portal.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
