Allison J. Rao, M. D. , Gregory L. Cvetanovich, M. D. , William A

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Presentation transcript:

Single-Bundle Augmentation for a Partial Tear of the Anterior Cruciate Ligament Allison J. Rao, M.D., Gregory L. Cvetanovich, M.D., William A. Zuke, B.A., Beatrice Go, B.S., Brian Forsythe, M.D. Arthroscopy Techniques Volume 6, Issue 3, Pages e853-e857 (June 2017) DOI: 10.1016/j.eats.2017.02.015 Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 1 (A) Diagnostic arthroscopy of the right knee is performed initially, with probing of the ACL to confirm intact fibers of the AM bundle. (B) While viewing through the transpatellar portal, the femoral footprint of the PL bundle is located and outlined with a radiofrequency device. (C) A 6.5-mm femoral tunnel is drilled, preserving the intact AM bundle fibers. (ACL, anterior cruciate ligament; AM, anteromedial; PL, posterolateral.) Arthroscopy Techniques 2017 6, e853-e857DOI: (10.1016/j.eats.2017.02.015) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 2 Preparation of the tibial tunnel viewing from the lateral portal of a right knee. (A) Through the AM portal, an ACL guide is placed at the center of the PL bundle footprint on the tibia for placement of the guidewire. (B) A curette is placed over the guidewire to protect the intact fibers during tibial tunnel drilling. (C) The PL tibial tunnel is rongeured and prepared for graft passage. (ACL, anterior cruciate ligament; AM, anteromedial; PL, posterolateral.) Arthroscopy Techniques 2017 6, e853-e857DOI: (10.1016/j.eats.2017.02.015) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 3 View from the lateral portal of the right knee. (A) The graft and EndoButton are passed through the tibial tunnel. (B) Final confirmation of graft position and stability is performed, looking for any signs of pullout, impingement, or inadequate tensioning. Arthroscopy Techniques 2017 6, e853-e857DOI: (10.1016/j.eats.2017.02.015) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions