Abstract
The purpose of this article is to give surgical guidelines to restore the direct tibial C-shaped and the direct femoral “straight” insertion site of the ACL. Anatomical footprint restoration requires assessment of the length, width, and orientation of the direct tibial and femoral ACL insertion sites. Both SB and DB ACL reconstructions may achieve a wide range of area and geometric restoration of the individual ACL footprint. While SB ACL reconstruction may be best used for insertion sites up to 13 mm in length, DB ACL reconstruction has the potential to be more anatomical restoring narrow and long footprints up to 21 mm. The width of the restored area depends on the drill bit diameter(s) and is usually larger for SB. In larger footprints DB can replicate up to 63 % more area and 37 % more length than SB ACL reconstruction. The “Direct Insertion Site Table” resumes the concept for orientation during surgery.
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Siebold, R., Schuhmacher, P. (2014). ACL-Footprint Reconstruction with Insertion Site Table. In: Siebold, R., Dejour, D., Zaffagnini, S. (eds) Anterior Cruciate Ligament Reconstruction. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-45349-6_22
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DOI: https://doi.org/10.1007/978-3-642-45349-6_22
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