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Anatomic ACL

Anterior cruciate ligament reconstruction (ACL-R) is probably the most performed arthroscopic knee surgical procedure. The technique of ACL-R continues to evolve, and the search for the Holy Trial continues. We have not yet decided the ideal “Gold Standard” graft source for ACL-R. Newer fixation devices have made the use of shorter grafts possible. The quest for the ideal femoral and tibial tunnel position yet seems an ongoing enigma. Several evolving technologies have been investigated to address this issue. Over the past decade, the role of secondary stabilizing structures in an ACL injured has been investigated in detail. The indications for the use of additional procedures for treating these secondary injuries are now becoming clearer. We are gradually inching closer to improved outcomes and ACL-R survival rates.

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Current Concepts Review
Open Access
Rebranding the ‘anatomic’ ACL reconstruction: Current concepts
Journal of ISAKOS
Vol. 8Issue 1p23–28Published online: November 22, 2022
- Kyle A. Borque
- Mitzi S. Laughlin
- Vítor Hugo Pinheiro
- Mary Jones
- Andy Williams
Cited in Scopus: 1
The anterior cruciate ligament (ACL) is a complex ribbon-like structure, which is approximately 3.5 times larger at the tibial and femoral insertions than at the midpoint. Accordingly, it is impossible to recreate with a single cylindrical graft. However, this has not stopped surgeons from using the term “anatomic” to describe multiple ACL reconstruction techniques inserting at a number of different locations within the original ACL footprint, causing confusion. The term “anatomic” should be discarded and replaced by an anatomic description of the tunnel placements on the tibia and femur.

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Anatomic ACL

Rebranding the ‘anatomic’ ACL reconstruction: Current concepts