TIBIAL TUNNEL PLACEMENT IN ACL RECONSTRUCTION

In reconstructing the ACL, ideal tibial tunnel placement requires an u nderstanding of the unique anatomy of the ACL tibial footprint and its relationship to the PCL, lateral meniscus, and medial tibial part of the spine. In addition to precise placement of the tibial tunnel, its length and angulation are factors to consider. Using consistent anatom ic landmarks with attention to detail, the tibial tunnel can be reprod ucibly placed in a manner that is not detrimental to the graft.