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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.


(A) View through anterolateral portal, with guidewire placed in the anteromedial portal; (B) view through anteromedial portal, with guidewire placed in the accessory anteromedial portal.
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fig0015: (A) View through anterolateral portal, with guidewire placed in the anteromedial portal; (B) view through anteromedial portal, with guidewire placed in the accessory anteromedial portal.

Mentions: In our opinion, viewing through the anteromedial portal provides a clear view of the medial face of the lateral femoral condyle, with the possibility of a clearer view of the femoral insertion of the ACL, in comparison with the view obtained through the anterolateral portal (Fig. 2, Fig. 3).


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

Gali JC - Rev Bras Ortop (2015)

(A) View through anterolateral portal, with guidewire placed in the anteromedial portal; (B) view through anteromedial portal, with guidewire placed in the accessory anteromedial portal.
© Copyright Policy - CC BY-NC-ND
Related In: Results  -  Collection

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

fig0015: (A) View through anterolateral portal, with guidewire placed in the anteromedial portal; (B) view through anteromedial portal, with guidewire placed in the accessory anteromedial portal.
Mentions: In our opinion, viewing through the anteromedial portal provides a clear view of the medial face of the lateral femoral condyle, with the possibility of a clearer view of the femoral insertion of the ACL, in comparison with the view obtained through the anterolateral portal (Fig. 2, Fig. 3).

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.