Letter to the Editor
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jun 16, 2024; 12(17): 3277-3280
Published online Jun 16, 2024. doi: 10.12998/wjcc.v12.i17.3277
Lateral femoral tunnel preparation and graft fixation for anterior cruciate ligament reconstruction–A discussion
Mehak Chandanani, Andrea Volpin
Mehak Chandanani, School of Medicine, Medical Sciences and Nutrition, University of Aberdeen, Aberdeen AB25 2ZD, United Kingdom
Andrea Volpin, Department of Trauma and Orthopaedics, National Health Service Grampian, Elgin IV30 1SN, United Kingdom
Author contributions: This letter was conceptualized by Volpin A and written by Chandanani M under the supervision of Volpin A, Chandanani M conducted the critical appraisal, review of literature, and editing of the manuscript; Volpin A supervised and reviewed the work. All authors have read and agreed to the published version of the manuscript.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Andrea Volpin, MD, Surgeon, Department of Trauma and Orthopaedics, National Health Service Grampian, Pluscarden Road, Elgin IV30 1SN, United Kingdom. andrea.volpin@nhs.scot
Received: December 20, 2023
Revised: April 12, 2024
Accepted: April 29, 2024
Published online: June 16, 2024
Processing time: 166 Days and 20.4 Hours
Abstract

This article provides a discussion and commentary around the recent advances in arthroscopic anterior cruciate ligament reconstruction (ACLR), with a focus on the aspects of lateral femoral tunnel preparation and graft fixation techniques. The paper explores and comments on a recently published review by Dai et al, titled "Research progress on preparation of lateral femoral tunnel and graft fixation in ACLR", while providing insight into its relevance within the field of ACLR, and recommendations for future research.

Keywords: Anterior cruciate ligament reconstruction; Arthroscopic surgery; Lateral femoral tunnel; Graft fixation techniques; Anterior cruciate ligament tear; Biomechanics; Knee injuries

Core Tip: Anterior cruciate ligament reconstruction (ACLR) is a highly complex surgery with multiple approaches. Decisions regarding the most optimal approach should be made with a comprehensive knowledge of the risks and benefits of each, in conjugation with patient factors, taking an individualized approach to each case. Future comparative research studies and large-scale interventional studies are needed to determine the optimal techniques for femoral tunnel preparation and graft fixation in ACLR.