Lateral femoral tunnel preparation and graft fixation for anterior cruciate ligament reconstruction–A discussion

Abstract

This article provides a discussion and commentary around the recent advances in arthroscopic anterior cruciate ligament reconstruction (ACLR), with a focus on the aspects of lateral femoral tunnel preparation and graft fixation techniques. The paper explores and comments on a recently published review by Dai et al, titled "Research progress on preparation of lateral femoral tunnel and graft fixation in ACLR", while providing insight into its relevance within the field of ACLR, and recommendations for future research.

Keywords: Anterior cruciate ligament reconstruction; Arthroscopic surgery; Lateral femoral tunnel; Graft fixation techniques; Anterior cruciate ligament tear; Biomechanics; Knee injuries

Core Tip: Anterior cruciate ligament reconstruction (ACLR) is a highly complex surgery with multiple approaches. Decisions regarding the most optimal approach should be made with a comprehensive knowledge of the risks and benefits of each, in conjugation with patient factors, taking an individualized approach to each case. Future comparative research studies and large-scale interventional studies are needed to determine the optimal techniques for femoral tunnel preparation and graft fixation in ACLR.