Cover Page

Cite item


Purpose: rationale for using bony landmarks of the femoral intercondylar space for an accurate determination of ACL attachment during arthroscopic reconstruction. Material and methods: anatomic research of 57 femur bones in which were studied anterior cruciate ligament femoral footprint, lateral intercondylar ridge and lateral bifurcate ridge. Results: research has shown, that lateral intercondylar ridge was present at 52 supervision (91 %), and its average length was 15.4 ± 0.46 mm; lateral bifurcate ridge was determined in 28 (49 %), which average length was 3.95 ± 0.26 mm. Conclusions: these bone formation can be considered as the reference structure for the identification of the anterior cruciate ligament femoral insertion.

About the authors

I. A. Suchilin

Volgograd State Medical University

Author for correspondence.
Russian Federation

D. A. Malanin

Volgograd State Medical University

Russian Federation

A. I. Krayushkin

Volgograd State Medical University

Russian Federation


  1. Маланин Д.А., Новочадов В.В., Самусев С.Р., Тетерин О.Г., Сучилин И.А., Жуликов А.Л. Инновационные технологии в восстановлении коленного сустава при его повреждениях и заболеваниях. Вестник ВолгГМУ. 2009;2:7-13.
  2. Amis A.A., Dawkins G.P. Functional anatomy of the anterior cruciate ligament. Fibre bundle actions related to ligament replacements and injuries. J. Bone Joint Surg. Br. 1991;73:260-267.
  3. Bird J.H., Carmont M.R., Dhillon M., Smith N., Brown C., Thompson P., Spalding T. Validation of a new technique to determine midbundle femoral tunnel position in anterior cruciate ligament reconstruction using 3-dimensional computed tomography analysis. Arthroscopy. 2011;27:1259 — 1267.
  4. Colvin A.C., Shen W., Musahl V., Fu F.H. Avoiding pitfalls in anatomic ACL reconstruction. Knee Surg. Sports Traumatol. Arthrosc. 2009;17:956-963.
  5. Edwards A., Bull A.M.J., Amis A.A. The attachments of the anteromedial and posterolateral fibre bundles of the anterior cruciate ligament. Part 2: Femoral attachment. Knee Surg. Sports Traumatol. Arthrosc. 2008;16:29-36.
  6. Farrow L.D., Chen M.R., Cooperman D.R., et al. Morphology of the femoral intercondylar notch. J. Bone Joint Surg. (Am.). 2007;89:2150-2155.
  7. Ferretti M., Ekdahl M., Shen W., Fu F.H. Osseous landmarks of the femoral attachment of the anterior cruciate ligament: an anatomic study. Arthroscopy. 2007;23:1218-1225.
  8. Friederich N.F., O'Brien W.R. Functional anatomy of the cruciate ligaments. In: Jakob R.P., Staubli H.U. The knee and the cruciate ligaments. Heidelberg:Springer; 1992.
  9. Fu F.H.,Jordan S.S. The lateral intercondylar ridge - a key to anatomic anterior cruciate ligament reconstruction. J. Bone Joint Surg. (Am.). 2007;89:2103-2104.
  10. Girgis F.G., Marshall J.L., Monajem A. The cruciate ligaments of the knee joint. Anatomical, functional and experimental analysis. Clin. Orthop. 1975;106:216-231.
  11. Jakob R.P., Amis A.A. European Society of Sports Traumatology, Knee Surgery and Arthroscopy. Proceedings of the Second ESSKA Scientific Workshop on Reconstruction of the Anterior Cruciate Ligament. New York:Springer, 1998.
  12. Heming J.F., Rand J., Steiner M.E. Anatomical limitations of transtibial drilling in anterior cruciate ligament reconstruction. Am. J. Sports Med. 2007;35:1708- 1715.
  13. Hutchinson M.R., Ash S.A. Resident's ridge: assessing the cortical thickness of the lateral wall and roof of the intercondylar notch. Arthroscopy. 2003;19:931-935.
  14. Purnell M.L., Larson A.I., Clancy W. Anterior cruciate ligament insertions on the tibia and femur and their relationships to critical bony landmarks using highresolution volume-rendering computed tomography. Am. J. Sports Med. 2008;36:2083-2090.
  15. Jakob R.P., Amis A.A. Proceedings of the Second ESSKA Scientific Workshop on Reconstruction of the Anterior Cruciate Ligament. Heidelberg:Springer, 1998.
  16. Shino K., Suzuki T., Iwahashi T., et al. The resident's ridge as an arthroscopic landmark for anatomical femoral tunnel drilling in ACL reconstruction. Knee Surg. Sports Traumatol. Arthrosc. 2010;18:1164-1168.
  17. van Eck C.F., Morse K.R., Lesniak B.P., Does the lateral intercondylar ridge disappear in ACL deficient patients? Knee Surg. Sports Traumatol. Arthrosc. 2010;18:1184-1188.
  18. Zavras T.D., Amis A.A., Race A., Bull A.M. A comparative study of ‘isometric' points for anterior cruciate ligament graft attachment. Knee Surg. Sports Traumatol. Arthrosc. 2001;9:28-33.
  19. Ziegler C.G., Pietrini S.D., Westerhaus B.D., Anderson C.J., Wijdicks C.A., Johansen S., Engebretsen L., LaPrade R.F. Arthroscopically Pertinent Landmarks for Tunnel Positioning in Single-Bundle and Double-Bundle Anterior Cruciate Ligament Reconstructions. Am. J. Sports Med. 2011;4:743-752.

Copyright (c)

СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77 - 82474 от 10.12.2021.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies