Positioning of the ACL reconstruction is critical to success

Discussion in 2015 with the Clinical Editor Dr Sheila Strover

 

Anatomic ACL reconstruction

  • The debate continues about where in the femoral footprint the graft should be placed

  • The point is that the footprint is larger than the drill hole, so it has to be decided where on the footprint one should make the tunnel

  • Surgeon technique is important as the correct use of portals and knee position optimise access to the footprint

  • Use of posts to hold the knee during surgery allow exact positioning without assistance

  • If the remnant is being preserved, it is useful to use fluoroscopy to position the tunnels as the remnant obscures the view (but too much remnant may lead to a cyclops lesion)

 

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