ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2021
Anterior root of lateral meniscus and medial tibial spine are reliable intraoperative landmarks for the tibial footprint of anterior cruciate ligament.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Notch-referenced mediolateral verification of tibial tunnel position in anterior cruciate ligament reconstruction: a 3D imaging validation study.Archives of orthopaedic and trauma surgery · 2026Article
- Evaluating Tibial Tunnel Landmarks in Anterior Cruciate Ligament Reconstruction: Remnant Versus Lateral Meniscus Anterior Horn.Journal of clinical medicine · 2025Article
- How Isometric Is Off-Center Anatomical Single-Bundle Anterior Cruciate Ligament Reconstruction? An Intraoperative Evaluation and Analysis of Graft Laxity.Clinics in orthopedic surgery · 2025Article
- MRI-based evaluation of tibial tunnel proximity to the anterior horn of the lateral meniscus in remnant-preserving anterior cruciate ligament reconstruction.Acta orthopaedica et traumatologica turcica · 2025Article
- [Treatment of tibial insertion avulsion fracture of anterior cruciate ligament involving anterior root of lateral meniscus with multi-point fixation with anchor and suture].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2023Article
- Reliability of the Tibial Spine Versus ACL Stump in Assisting Tibial Tunnel Positioning During ACL Reconstruction: Analysis Based on 3-Dimensional Computed Tomography Modeling.Orthopaedic journal of sports medicine · 2023Article
- Significant race and gender differences in anterior cruciate ligament tibial footprint location: a 3D-based analysis.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2023Article
- Significance of the broad non-bony attachments of the anterior cruciate ligament on the tibial side.Scientific reports · 2022Article
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Authors and funding
5 authors.
Funding
Abstract
purposeThe aims of the present study were (1) to investigate the tibial footprint location of the anterior cruciate ligament (ACL) in both ACL-ruptured and ACL-intact patients, (2) to identify the relationship of the tibial footprint to the anterior root of the lateral meniscus (ARLM) and medial tibial spine (MTS), and (3) to evaluate the reliability of the ARLM and MTS for identifying the center of the tibial ACL footprint.
methodsMagnetic resonance images of 90 knees with ACL rupture and 90 matched-controlled knees were used to create three-dimensional models of the tibia. The tibial ACL footprint was outlined on each model, and its location was measured using an anatomical coordinate system.
resultsNo significant difference in the location of the tibial footprint was found between ACL-ruptured and ACL-intact knees. The tibial ACL footprint was located in very close proximity to the ARLM, especially in the M/L direction. The safe zone of tibial tunnel reaming for avoiding damage to the ARLM was 2.6 mm lateral to the center of the native tibial footprint. Both the ARLM and MTS were reliable intraoperative landmarks for identifying the tibial footprint.
conclusionsOrthopedic surgeons should be aware of the safe zone of tibial tunnel reaming for avoiding injury to the ARLM. Both the ARLM and MTS might be reliable landmarks for identifying the center of the tibial ACL footprint and may facilitate tibial tunnel placement during anatomical single-bundle ACL reconstruction, especially in cases of revision where the tibial ACL stump is not available. LEVEL OF EVIDENCE: Level III.
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