ReviewKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2023
The proximal posterior cartilage of the lateral femoral condyle can be used as a reference for positioning the femoral tunnel in ACL reconstruction.
Review in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2023. 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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8 citing papers in PubMed, 8 citations in OpenAlex.
- Combined Anterior Cruciate Ligament and Posterolateral Corner Reconstruction With a Single Femoral Tunnel Using Rectus Femoris and Semitendinosus Autografts.Arthroscopy techniques · 2026Article
- Research progress on the application of mixed reality technology in femoral tunnel positioning during anterior cruciate ligament reconstruction.Frontiers in surgery · 2026Review
- The posterior femoral cartilage can be used as an anatomical reference for the creation of the femoral tunnel in anterior cruciate ligament reconstruction.Journal of experimental orthopaedics · 2025Article
- Combined Anterior Cruciate Ligament and Posterolateral Corner Reconstruction: Modified Technique Using a Single Femoral Tunnel Using Hamstrings and Peroneus Longus Tendon.Arthroscopy techniques · 2025Article
- Characteristics of the femoral tunnel of anatomical and isometric single bundle anterior cruciate ligament reconstruction: a modeling analysis based on quadrant method and anatomical landmarks.Journal of orthopaedic surgery and research · 2024Article
- App-Based Analysis of Fluoroscopic Images According to Bernard-Hertel Method for the Determination of Femoral Tunnel Positioning in Anterior Cruciate Ligament Reconstruction.Arthroscopy techniques · 2024Article
- Introducing Skeletally-Mature Anterior Cruciate Ligament Reconstruction Technique Using Reinforcement (SATURN) With Iliotibial Band Autograft.Arthroscopy techniques · 2023Article
- Posterior Proximal Cartilage of the Lateral Femoral Condyle as a Reference for Positioning the Femoral Tunnel in ACL Reconstruction.Video journal of sports medicineArticle
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Authors and funding
6 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
purposeTo describe the femoral insertion of the ACL using the posterior proximal cartilage of the lateral femoral condyle as the anatomical reference.
methodsTwenty knees were dissected. The X-axis (deep-shallow) and Y-axis (high-low) were determined using the femoral diaphysis and the proximal cartilage of the lateral femoral condyle (point C) as a reference, which were easily identified by direct visualization through the anteromedial portal. The distances to the center of the anteromedial and posterolateral bands and to the center of the ACL were measured.
resultsThe mean distances were 7.2 mm (SD: 0.7) between the center of the anteromedial bundle and the Y-axis (AM-Y), 9 mm (SD: 1.1) between the center of the ACL and the Y-axis (M-Y), and 12.7 mm (SD: 0.9) between the center of the posterolateral bundle and the Y-axis (PL-Y). Regarding the distance (from point C to the distal cartilage along the X-axis), the center of the anteromedial bundle (AM) was 35% (SD: 4.9%), the center of the posterolateral bundle was 62% (SD: 3.7%), and the center of the ACL (M) was 44% (SD: 7%) of the CD distance on average.
conclusionGiven the similarity among the specimens in terms of the height of the ACL on the Y-axis in relation to the proximal posterior cartilage of the femoral lateral condyle (point C), this point can be used as an arthroscopic intraoperative parameter to define the position of the femoral tunnel in ACL reconstruction for single- or double-bundle techniques.
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