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Anatomical reconstruction of the anterior cruciate ligament: a logical approach.

Gali JC - Rev Bras Ortop (2015)

Bottom Line: We describe the surgical approach that we have used over the last years for anterior cruciate ligament (ACL) reconstruction, highlighting the importance of arthroscopic viewing through the anteromedial portal (AMP) and femoral tunnel drilling through an accessory anteromedial portal (AMP).The AMP allows direct view of the ACL femoral insertion site on the medial aspect of the lateral femoral condyle, does not require guides for anatomic femoral tunnel reaming, prevents an additional lateral incision in the distal third of the thigh (as would be unavoidable when the outside-in technique is used) and also can be used for double-bundle ACL reconstruction.Abstract available from the publisher.

View Article: PubMed Central - PubMed

Affiliation: Orthopedics and Traumatology Service, Faculdade de Ciências Médicas e da Saúde de Sorocaba, Pontifícia Universidade Católica de São Paulo (PUC-SP), Sorocaba, SP, Brazil.

ABSTRACT
We describe the surgical approach that we have used over the last years for anterior cruciate ligament (ACL) reconstruction, highlighting the importance of arthroscopic viewing through the anteromedial portal (AMP) and femoral tunnel drilling through an accessory anteromedial portal (AMP). The AMP allows direct view of the ACL femoral insertion site on the medial aspect of the lateral femoral condyle, does not require guides for anatomic femoral tunnel reaming, prevents an additional lateral incision in the distal third of the thigh (as would be unavoidable when the outside-in technique is used) and also can be used for double-bundle ACL reconstruction.

No MeSH data available.


Demonstration of the anteromedial portal (AMP) (with the optical device) and accessory anteromedial portal (AAMP) (with guidewire).
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fig0005: Demonstration of the anteromedial portal (AMP) (with the optical device) and accessory anteromedial portal (AAMP) (with guidewire).

Mentions: The accessory anteromedial portal was established using a number 18 needle, under direct viewing, inferiorly and medially to the standard anteromedial portal (Fig. 1). Its positioning is critical for obtaining the correct pathway and determining the entry point for the femoral tunnel, so as to avoid injuring the surface of the medial femoral condyle and the medial meniscus, during the drilling.


Anatomical reconstruction of the anterior cruciate ligament: a logical approach.

Gali JC - Rev Bras Ortop (2015)

Demonstration of the anteromedial portal (AMP) (with the optical device) and accessory anteromedial portal (AAMP) (with guidewire).
© Copyright Policy - CC BY-NC-ND
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4563075&req=5

fig0005: Demonstration of the anteromedial portal (AMP) (with the optical device) and accessory anteromedial portal (AAMP) (with guidewire).
Mentions: The accessory anteromedial portal was established using a number 18 needle, under direct viewing, inferiorly and medially to the standard anteromedial portal (Fig. 1). Its positioning is critical for obtaining the correct pathway and determining the entry point for the femoral tunnel, so as to avoid injuring the surface of the medial femoral condyle and the medial meniscus, during the drilling.

Bottom Line: We describe the surgical approach that we have used over the last years for anterior cruciate ligament (ACL) reconstruction, highlighting the importance of arthroscopic viewing through the anteromedial portal (AMP) and femoral tunnel drilling through an accessory anteromedial portal (AMP).The AMP allows direct view of the ACL femoral insertion site on the medial aspect of the lateral femoral condyle, does not require guides for anatomic femoral tunnel reaming, prevents an additional lateral incision in the distal third of the thigh (as would be unavoidable when the outside-in technique is used) and also can be used for double-bundle ACL reconstruction.Abstract available from the publisher.

View Article: PubMed Central - PubMed

Affiliation: Orthopedics and Traumatology Service, Faculdade de Ciências Médicas e da Saúde de Sorocaba, Pontifícia Universidade Católica de São Paulo (PUC-SP), Sorocaba, SP, Brazil.

ABSTRACT
We describe the surgical approach that we have used over the last years for anterior cruciate ligament (ACL) reconstruction, highlighting the importance of arthroscopic viewing through the anteromedial portal (AMP) and femoral tunnel drilling through an accessory anteromedial portal (AMP). The AMP allows direct view of the ACL femoral insertion site on the medial aspect of the lateral femoral condyle, does not require guides for anatomic femoral tunnel reaming, prevents an additional lateral incision in the distal third of the thigh (as would be unavoidable when the outside-in technique is used) and also can be used for double-bundle ACL reconstruction.

No MeSH data available.