How Isometric Is Off-Center Anatomical Single-Bundle Anterior Cruciate Ligament Reconstruction? An Intraoperative Evaluation and Analysis of Graft Laxity
Positioning a graft in the high portion of the anteromedial bundle insertion on the femoral side does not achieve absolute isometry, but exhibits laxity changes similar to the overall pattern presented by the native ACL during the range of knee motion. Minor variations in the positions of femoral tunnels are associated with distinct patterns of graft laxity. Tensioning and fixation of the ACL graft at knee extension are suggested.
Authors
- Binhua Deng (ORCID: https://orcid.org/0009-0001-5839-1564)
- Qingyun Xie (ORCID: https://orcid.org/0009-0003-1621-7589)
- J.K. Liu (ORCID: https://orcid.org/0009-0006-5034-9157)
- Shuang Yang (ORCID: https://orcid.org/0009-0006-1326-0153)
- Li Yin (ORCID: https://orcid.org/0000-0002-4566-8616)
- Shihong Li (ORCID: https://orcid.org/0000-0003-1302-9761)
- Dongfa Liao (ORCID: https://orcid.org/0009-0006-0398-1459)
- Weijie Yang (ORCID: https://orcid.org/0009-0006-0987-3969)
Publication Details
- Journal
- Clinics in Orthopedic Surgery
- Published
- 2025-01-01
- DOI
- https://doi.org/10.4055/cios24462
- Primary Topic
- Knee injuries and reconstruction techniques
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Southwest Hospital