AI Article Synopsis

  • Numerous studies indicate that incorrect graft placement in ACL reconstruction is a key factor in graft failure and complications.
  • The target position for the femoral graft should be in the posterior quarter of Blumensaat's line on a lateral knee X-ray.
  • A straightforward technique using preoperative imaging and a calibrated guide can help accurately position the femoral tunnel to avoid issues.

Article Abstract

Numerous studies have shown that the improper placement of the graft in anterior cruciate ligament reconstruction is a major cause of graft failure, capturing of the knee, and notch roof impingement. The ideal femoral position is located in the posterior one quarter of Blumensaat's line as seen on a true lateral knee radiograph. We present a simple method that relies on the use of preoperative radiographic measurement and a calibrated guide to ensure that the femoral tunnel is sufficiently far back along the roof of the notch, using the easily identifiable anterior end of the notch as a reference point.

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http://dx.doi.org/10.1055/s-0030-1248102DOI Listing

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