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Published in: Knee Surgery, Sports Traumatology, Arthroscopy 3/2006

01-03-2006 | Knee

Femoral attachment of the anterior cruciate ligament

Authors: Francesco Giron, Pierluigi Cuomo, Paolo Aglietti, Anthony M. J. Bull, Andrew A. Amis

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 3/2006

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Abstract

Endoscopic anterior cruciate ligament (ACL) reconstruction is one of the most popular orthopaedic procedures. Correct tunnel positioning is a prerequisite to success. Current surgical techniques are unable to duplicate the complex anatomy and function of the native ACL. Surgery mainly aims at restoring anteroposterior laxity. The ACL is not isometric and only a few fibers are nearly isometric over the full range of motion. However, a nearly isometric behaviour of the ACL graft is desirable. Isometry is mainly influenced by femoral attachment; thus the femoral tunnel position has a greater effect than the tibial on graft length changes. The purpose of this article is to describe the anatomy of the femoral ACL insertion and to discuss the surgical techniques used to replicate it.
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Metadata
Title
Femoral attachment of the anterior cruciate ligament
Authors
Francesco Giron
Pierluigi Cuomo
Paolo Aglietti
Anthony M. J. Bull
Andrew A. Amis
Publication date
01-03-2006
Publisher
Springer-Verlag
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 3/2006
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-005-0685-y

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