The debate continues about where in the femoral footprint the graft should be placed
The point is that the footprint is larger than the drill hole, so it has to be decided where on the footprint one should make the tunnel
Surgeon technique is important as the correct use of portals and knee position optimise access to the footprint
Use of posts to hold the knee during surgery allow exact positioning without assistance
If the remnant is being preserved, it is useful to use fluoroscopy to position the tunnels as the remnant obscures the view (but too much remnant may lead to a cyclops lesion)
Discussion in 2015 with the Clinical Editor Dr Sheila Strover