Technical note: Anterior cruciate ligament reconstruction in the presence of an intramedullary femoral nail using anteromedial drilling

Figure 3 Preoperative and postoperative imaging of distal femoral hardware. Anterior cruciate ligament (ACL) reconstruction required removal of existing distal femoral locking screw located approximately 2 cm superior to the intercondylar notch adjacent to posterior femoral cortex and oriented from posterolateral to anteromedial. A: Preoperative Coronal X-ray; B: Postoperative Coronal X-ray; C: Preoperative Sagittal X-ray; D: Postoperative Sagittal X-ray.