Arthroscopically Assisted Reconstruction of the Anterior Cruciate Ligament. Preoperative Planning: Two-Tunnel Technique

  • H.-U. Stäubli
  • S. Spörri


The precise placement of the tibial and femoral osseous tunnels for an anterior cruciate ligament (ACL) reconstruction requires a knowledge of the three-dimensional anatomy of the ACL. The reconstruction must replicate the geometry of the normal ACL attachment sites on the tibia and femur in order to achieve reproducible results.


Anterior Cruciate Ligament Femoral Tunnel Tibial Tunnel Lateral Femoral Condyle Kirschner Wire 
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  1. Arnoczky SP (1983) Anatomy of the anterior cruciate ligament. Clin Orthop 172: 19–25PubMedGoogle Scholar
  2. Arnoczky SP, Warren RF (1988) Anatomy of the cruciate ligaments. In: Feagin JA (ed) The crucial ligaments. Churchill Livingstone, New York Edingburgh London Melbourne, pp 179–195Google Scholar
  3. Van Dijk R, Huiskes R, Selvik G (1979) Technical note: Roentgenstereophotogrammetric methods for the evaluation of the three dimensional kinematic behaviour and cruciate ligament length patterns of the human knee joint. J Biomech 12: 727–731PubMedCrossRefGoogle Scholar
  4. Ellison AE, Berg EE (1985) Embryology, anatomy and function of the anterior cruciate ligament. Orthop Clin North Am 16: 3–14PubMedGoogle Scholar
  5. Engebretsen L, Lew WD, Lexis JL, Hunter RE (1988) Knee joint motion and ligament force before and after augmented primary repair of acute anterior cruciate ligament rupture. Acta Orthop ScandGoogle Scholar
  6. Girgis FG, Marshall JL, Al Monajem ARS (1975) The cruciate ligaments of the knee joint: Anatomical, functional and experimental analysis. Clin Orthop 106: 216–231PubMedCrossRefGoogle Scholar
  7. Good L, Odensten M, Gillquist J (1987) Precision in reconstruction of the anterior cruciate ligament. Acta Orthop Scand 58: 658–661PubMedCrossRefGoogle Scholar
  8. Graf B (1987) Isometric placement of substitutes for the anterior cruciate ligament. In: Jackson DW, Drez D (eds) The anterior cruciate deficient knee. Mosby, St. Louis Washington/DC Toronto, pp 102–113Google Scholar
  9. Hefzy MS, Grood ES, Noyes FR (1988) Factors affecting the region of most isometric femoral attachments Part II: The anterior cruciate ligament. Am J Sports Med 17: 208–216CrossRefGoogle Scholar
  10. Hunter RE, Lewis JL, Lw WD, Kowalzy KC, Settle W (1988) Biomechanics of ACL reconstructions: The effect of initial graft length. 14th Annual Meeting of the American Orthopedic and Sports Medicine Society (abstract)Google Scholar
  11. Kennedy JC, Weinberg HW, Wilson AS (1974) The anatomy and function of the anterior cruciate ligament as determined by clinical and morphological studies. J Bone Joint Surgery [Am] 56: 223–235Google Scholar
  12. Norwood LA, Cross MJ (1979) Anterior cruciate ligament: Functional anatomy of its bundles in rotatory instabilities. Am J Sports Med 7/1: 23–26PubMedCrossRefGoogle Scholar
  13. Odensten M, Gillquist J (1985) Functional anatomy of the anterior cruciate ligament and a rationale for reconstruction. J Bone Joint Surg [Am] 67: 257–262Google Scholar
  14. Penner DA, Daniel DM, Wood P, Mishra D (1988) An in vitro study of anterior cruciate ligament graft placement and isometry. Am J Sports Med 16/3: 238–243PubMedCrossRefGoogle Scholar
  15. Purnell ML, Oden RR, Berkeley ME (1988) Arthroscopic anterior cruciate ligament reconstruction. A. I. Guide surgical technique. Johnson & Johnson, Aspea/COGoogle Scholar
  16. Rosenberg TD, Paulos LE, Abbott PJ (1988) Arthroscopic cruciate repair and reconstruction: An overview and descriptions of technique In: Feagin J A (ed) The crucial ligaments. Churchill Livingstone, New York Edingburgh London Melbourne, pp 409–423Google Scholar
  17. Sidles JA, Larsen RV, Garbini JL, Matsen FA (1988) Ligament length relationships in the moving knee. University of WashingtonGoogle Scholar
  18. Stäubli H-U (1988) Preoperative Planning to determine anatomic attachment areas in anterior cruciate ligament reconstruction. ACL study group conference, Snowmass, Aspen/CO, March 19–26th, pp 37–38Google Scholar

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© Springer-Verlag Berlin Heidelberg 1992

Authors and Affiliations

  • H.-U. Stäubli
  • S. Spörri

There are no affiliations available

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