Relationship of the Intercondylar Roof and the Tibial Footprint of the ACL

@article{Scheffel2013RelationshipOT,
  title={Relationship of the Intercondylar Roof and the Tibial Footprint of the ACL},
  author={Peter T Scheffel and Heath B. Henninger and Robert T. Burks},
  journal={The American Journal of Sports Medicine},
  year={2013},
  volume={41},
  pages={396 - 401}
}
Background: Debate exists on the proper relation of the anterior cruciate ligament (ACL) footprint with the intercondylar notch in anatomic ACL reconstructions. Patient-specific graft placement based on the inclination of the intercondylar roof has been proposed. The relationship between the intercondylar roof and native ACL footprint on the tibia has not previously been quantified. Hypothesis: No statistical relationship exists between the intercondylar roof angle and the location of the… 
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Anatomy and Histology of the Knee Anterolateral Ligament
TLDR
The anterolateral ligament (ALL) may be important in maintaining normal rotatory limits of knee motion; ALL rupture could be responsible for rotatory laxity after isolated intra-articular reconstruction of the ACL.
The size of tibial footprint of anterior cruciate ligament and association with physical characteristics in Asian females
TLDR
Tibial footprints size shows a large variation with a high proportion of <14 mm length, and Tibial length can help predict the ACL tibial footprint in the preoperative planning of ACL reconstruction.
Is it safe to reconstruct the knee Anterolateral Ligament with a femoral tunnel? Frequency of Lateral Collateral Ligament and Popliteus Tendon injury
TLDR
Performing a tunnel in the center of the ALL may cause an iatrogenic injury to the LCL origin, and no cases of PT injury are expected to occur with drills smaller than 10 mm.
The anterolateral ligament: A cadaveric study in fetuses
TLDR
The ALL is a constant, extracapsular anatomical structure in the anterolateral compartment of the knee, present from the later prenatal period of life, and shows three different patterns of femoral attachment in relation to the fibular collateral ligament position, a strong attachment in the lateral meniscus, and a constant tibial attachment.
Individualized Anterior Cruciate Ligament Graft Matching: In Vivo Comparison of Cross-sectional Areas of Hamstring, Patellar, and Quadriceps Tendon Grafts and ACL Insertion Area
TLDR
If the reconstructed ACL size is determined by the harvested autograft size alone, native ACL size may not be adequately restored, and the CSAs of 3 commonly used grafts vary greatly for each patient and are not correlated with one another.
Femoral and Tibial Graft Tunnel Parameters After Transtibial, Anteromedial Portal, and Outside-In Single-Bundle Anterior Cruciate Ligament Reconstruction
TLDR
The AMP and OI surgical techniques were superior in positioning the ACL femoral tunnel at the center of the native ACL attachment site compared with the TT technique.
[Most frequent causes of autologous graft failure in anterior cruciate ligament replacement].
TLDR
New trauma to the knee is the most frequent cause of BTB autograft failure after primary anterior cruciate ligament (ACL) reconstruction, and principles for prevention of graft failure after ACL reconstruction can be summarised.
Anatomic ACL reconstruction: the normal central tibial footprint position and a standardised technique for measuring tibial tunnel location on 3D CT
TLDR
The ACL’s normal central tibial footprint reference position has been defined, and the technique of measuring tibia tunnel location on 3D CT with a standardised grid system is described to assist surgeons in evaluating tibIAL tunnel position in anatomic single-bundle ACL reconstruction.
Increased revision rate with posterior tibial tunnel placement after using the 70-degree tibial guide in ACL reconstruction
TLDR
The current study was, however, not able to identify any anatomic variation that could be related to a higher risk of revision surgery.
Inclination of Blumensaat’s line influences on the accuracy of the quadrant method in evaluation for anterior cruciate ligament reconstruction
TLDR
There was a strong correlation between BIA and the point P measured using the quadrant method, suggesting the influence of the Blumensaat’s line on the accuracy of the Quadrant method measurements in ACL reconstruction.
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References

SHOWING 1-10 OF 30 REFERENCES
The relationship between the intercondylar roof and the tibial plateau with the knee in extension: relevance for tibial tunnel placement in anterior cruciate ligament reconstruction.
  • R. Buzzi, G. Zaccherotti, F. Giron, P. Aglietti
  • Medicine
    Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association
  • 1999
TLDR
The relationship between the intercondylar roof and the tibial plateau with the knee in full extension was studied and it was found that the roof-plateau intersection ratio has a wide range of variability (22% to 41%).
Tibial attachment area of the anterior cruciate ligament in the extended knee position
TLDR
To attain precision placement of the tibial attachment site and to avoid graft/roof conflict in the extended knee position, the anteroposterior tibials of the anterior cruciate ligament are assessed to avoid notch/graft conflict in knee extension.
Failure of reconstruction of the anterior cruciate ligament due to impingement by the intercondylar roof.
The relationship between impingement of the roof of the intercondylar notch on a reconstructed anterior cruciate ligament, and the subsequent stability and range of extension of the joint, was…
Femoral insertion of the ACL. Radiographic quadrant method.
TLDR
By using this radiographic quadrant method combined with fluoroscopic control during surgery, the ACL can be found just inferior to the most superoposterior quadrant, which means in anatomic terms it is localized from the dorsal border of the condyle at approximately a quarter of the whole sagittal diameter of the Condyle.
Posterior Tibial Tunnel Placement to Avoid Anterior Cruciate Ligament Graft Impingement by the Intercondylar Roof
TLDR
It is concluded that posteromedial tibial tunnel placement alone is adequate to avoid graft impingement in almost all patients and individualized tibIAL tunnel placement with specialized tibials guidance is not necessary.
Principles for placing the tibial tunnel and avoiding roof impingement during reconstruction of a torn anterior cruciate ligament
  • S. Howell
  • Engineering, Medicine
    Knee Surgery, Sports Traumatology, Arthroscopy
  • 1998
TLDR
A surgical technique is presented which consistently places the tibial tunnel in the pathway of the normal ACL and avoids roof impingement and the indications and need for roof- and wallplasty are discussed.
Evaluation of the intercondylar roof impingement after anatomical double-bundle anterior cruciate ligament reconstruction using 3D-CT
TLDR
3D-CT is an effective means of evaluating impingement after ACL reconstruction and when the grafts are positioned in an anatomical fashion, there is no risk of impingements, and surgeons can perform anatomical double-bundle ACL as anImpingement-free reconstruction.
Tunnel Positioning of Anteromedial and Posterolateral Bundles in Anatomic Anterior Cruciate Ligament Reconstruction
TLDR
The center of the femoral posterolateral PL bundle is shallow and inferior to the AM bundle, and lies anterior when compared with the typical single-bundle ACL tunnel that reflects the PL bundle.
Serial magnetic resonance study assessing the effects of impingement on the MR image of the patellar tendon graft.
  • S. Howell, J. A. Clark, T. Farley
  • Medicine
    Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association
  • 1992
Effect of Femoral Socket Position on Graft Impingement After Anterior Cruciate Ligament Reconstruction
TLDR
Although notch impingement was seen in all femoral socket locations with an anteromedial tibial socket position, femoralsocket position in a central or posterolateral bundle location may reduce the risk and magnitude of graft impingements after ACL reconstruction.
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