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Cited by 351

The DOI matches its Crossref record; 54 of the 54 references it cites were found in a registry or an index.

Anterior cruciate ligament anatomy and function relating to anatomical reconstruction

Zantop, Thore, Petersen, Wolf, Sekiya, Jon K., Musahl, Volker, Fu, Freddie H.·2006·Knee Surgery, Sports Traumatology, Arthroscopy

Abstract

Recently, the interest in surgical techniques that reconstruct the anteromedial (AM) and the posterolateral (PL) bundles of the anterior cruciate ligament (ACL) has risen. This review focuses on the structural as well as the mechanical properties of the ACL and the anatomical details of the femoral origin, midsubstance, and tibial insertion of AM and PL bundles of the ACL. The terminology of AM and PL bundles is chosen according to the tibial insertion and determined by their functional tensioning pattern throughout knee flexion. Close to extension the AM is moderately loose and the PL is tight. As the knee is flexed, the femoral attachment of the ACL becomes more horizontally oriented, causing the AM bundle to tighten and the PM bundle to loosen up. The ACL has been described to be restraint to anterior tibial displacement and internal tibial rotation. The rotational component might be represented by the PL bundle. The femoral origin has an oval shape with the center of the AM close to over‐the‐top position and the center of the PL close to the anterior and inferior cartilage margin. Tibial and femoral insertions of the ACL are over 3.5 times larger when compared to the midsubstance and tunnel placement is more challenging because of the limited size of potential grafts selection of tunnel site placement. For reconstruction, both bone–patellar tendon–bone (BPTB) and quadrupled hamstring grafts are used. Structural properties of a 10 mm wide BPTB or quadrupled hamstring graft have been reported to be comparable with those of the native ACL.

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Metadata

Authors
Zantop, T., Petersen, W., Sekiya, J. K., Musahl, V., & Fu, F. H.
Venue
Knee Surgery, Sports Traumatology, Arthroscopy
Publisher
Wiley
Published
2006-08-05
Volume
14
Issue
10
Pages
982-992
ISSN
  • 0942-2056 (ISSN-L)
  • 1433-7347
OpenAlex
W2062233947
Cited by
351
References
54
FWCI
13.09
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Anterior cruciate ligament anatomy and function relating to anatomical reconstruction. https://app.cochat.ai/papers/10.1007/s00167-006-0076-z
The paper
Zantop, T., Petersen, W., Sekiya, J. K., Musahl, V., & Fu, F. H. (2006). Anterior cruciate ligament anatomy and function relating to anatomical reconstruction. Knee Surgery, Sports Traumatology, Arthroscopy. https://doi.org/10.1007/s00167-006-0076-z

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