Abstract

The intercondylar notch and anterior cruciate ligament (ACL) are closely related. Literature suggests that patients with a narrow intercondylar notch may be predisposed to ACL injury. However, the notch is also important during ACL reconstruction surgery. A narrow notch or A-shaped notch may make it difficult to drill the femoral tunnel from the medial portal and may not be able to accommodate a double-bundle technique. However, if these considerations are taken into account, a narrow notch does not predispose to ACL graft rupture. This article provides a historic overview of the research performed on the intercondylar notch as it related to ACL injury risk. In addition, it provides guidelines for intraoperative decision-making.

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