Restoration of the tibial ACL footprint area and geometry using the Modified Insertion Site Table

Abstract

Anatomical footprint restoration requires assessment of the length, width, and the orientation of the tibial ACL insertion site. Both SB- and DB-ACL reconstruction may achieve a wide range of area and geometric restoration of the individual ACL footprint. While SB-ACL reconstruction may be best used for wide insertion sites with up to 16 mm in length, DB-ACL reconstruction has the potential to restore narrow and larger footprints up to 21 mm in length. The "Modified Insertion Site Table" resumes the concept for orientation during surgery