The Journal of Bone and Joint Surgery (American). 2007;89:2103-2104.
doi:10.2106/JBJS.G.00851
© 2007 The Journal of Bone and Joint Surgery, Inc.
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Editorial

The Lateral Intercondylar Ridge—A Key to Anatomic Anterior Cruciate Ligament Reconstruction

Freddie H. Fu, MD, DSc, DPs(Hon)1 and Susan S. Jordan, MD1

1 Center for Sports Medicine, University of Pittsburgh Medical Center, 3200 South Water Street, Pittsburgh, PA 15203. E-mail address for F.H. Fu: ffu@upmc.edu. E-mail address for S.S. Jordan: jordanss@upmc.edu

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As our techniques for anterior cruciate ligament reconstruction have evolved, our focus has drifted from anatomy. We believe that it is important to hearken back to anatomy and to fully understand normal anatomy so that we can try to restore it with anterior cruciate ligament reconstruction surgery. The results associated with current anterior cruciate ligament reconstruction techniques are adequate but not exceptional. A recent meta-analysis of the outcomes of anterior cruciate ligament reconstruction indicated that only 33% of patients who had reconstruction with hamstring tendon graft and 41% of those who had reconstruction with bone-patellar tendon-bone graft had normal outcomes according to the final International Knee Documentation Committee score1. There is clearly room for improvement, and we think that the keys to improvement will be based on anatomical anterior cruciate ligament reconstruction.

In their paper entitled "Morphology of the Femoral Intercondylar Notch," Farrow et al. evaluate the anatomy . . . [Full Text of this Article]


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L. D. Farrow, R. J. Gillespie, B. N. Victoroff, and D. R. Cooperman
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