Editorial Commentary: Tibial Attachment of the Anterior Cruciate Ligament: Just 1 Piece to the Complex Puzzle of Individualized, Anatomic Anterior Cruciate Ligament Reconstruction

Abstract

The anterior cruciate ligament (ACL) is a complex, biologic structure that continues to be explored in the literature. Given the individual uniqueness of the ACL, variation exists, and studies continue to attempt to tease out what is truly important for ACL reconstruction. Although individual components of the ACL structure provide function, the ACL works as a dynamic structure, in unison with the surrounding bony morphology, to produce normal knee kinematics. Ultimately, in ACL reconstruction, the surgeon is tasked with restoring the native dimensions, collagen orientation, and insertion sites according to the individual anatomy.