All-Epiphyseal, All-Inside Anterior Cruciate Ligament Reconstruction Technique for Skeletally Immature Patients Moira M. McCarthy, M.D., Jessica Graziano,

Slides:

Advertisements

Similar presentations

All-Anterior Approach for Arthroscopic Posterior Cruciate Ligament Reconstruction With Remnant Preservation Tianwu Chen, M.D., Shaohua Liu, M.D., Jiwu.

Advertisements

Anterior Cruciate Ligament Reconstruction With Bone–Patellar Tendon–Bone Graft Through a Rectangular Bone Tunnel Made With a Rectangular Retro-dilator:

Quadruple Semitendinosus Graft Construct and Suspensory Button Fixation for Anterior Cruciate Ligament Reconstruction Alcindo Silva, M.D., Ricardo Sampaio,

A Surgical Technique for Posterolateral Placement of Interference Screw Accurately in Tibial Tunnel in Single-Bundle Anterior Cruciate Ligament Reconstruction

Minimally Invasive Combined Anterior and Anterolateral Stabilization of the Knee Using Hamstring Tendons and Adjustable-Loop Suspensory Fixation Device:

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

Arthroscopic Delivery of Injectable Bone Graft for Staged Revision Anterior Cruciate Ligament Reconstruction Kent T. Yamaguchi, M.D., Gina M. Mosich,

Protection of the Medial Femoral Condyle Articular Cartilage During Drilling of the Femoral Tunnel Through the Accessory Medial Portal in Anatomic Anterior.

Applying Cross-Pin System in Both Femoral and Tibial Fixation in Anterior Cruciate Ligament Reconstruction Using Hamstring Tendons Wei Qi, M.D., Yujie.

Arthroscopic Treatment of Acute Tibial Avulsion Fracture of the Posterior Cruciate Ligament Using the TightRope Fixation Device Clemens Gwinner, M.D.,

Anatomic Single-Bundle Anterior Cruciate Ligament Reconstruction With Remnant Preservation Using Outside-In Technique Byung-Ill Lee, M.D., Ph.D., Sai-Won.

Achilleas Boutsiadis, M. D. , Christos Karampalis, M. D

Suspensory Anterior Tibial Fixation in the Anatomic Transtibial Posterior Cruciate Ligament Reconstruction Ashraf Elazab, M.D., M.Sc., Yong Seuk Lee,

Both Posterior Root Lateral-Medial Meniscus Tears With Anterior Cruciate Ligament Rupture: The Step-by-Step Systematic Arthroscopic Repair Technique

Femoral Fixation With Curve Cross-Pin System in Arthroscopic Posterior Cruciate Ligament Reconstruction Ezio Adriani, M.D., Berardino Di Paola, M.D.,

Graft Retensioning Technique Using an Adjustable-Loop Fixation Device in Arthroscopic Anterior Cruciate Ligament Reconstruction Joseph T. Gamboa, M.D.,

Prevention of Medial Femoral Condyle Injury by Using a Slotted Cannula in Anterior Cruciate Ligament Reconstruction Chaiwat Chuaychoosakoon, M.D., Yada.

Joseph T. Gamboa, M. D. , Broc A. Durrant, M. D. , Neil P. Pathare, M

Anatomical Arthroscopic Graft Reconstruction of the Anterior Tibiofibular Ligament for Chronic Disruption of the Distal Syndesmosis Jesús Vilá-Rico,

Self-flip Technique of the TightRope RT Button for Soft-Tissue Anterior Cruciate Ligament Reconstruction Kengo Harato, M.D., Ph.D., Yasuo Niki, M.D.,

Matt Daggett, D. O. , M. B. A. , Andrea Redler, M. D. , Kevin Witte, D

Arthroscopic Reduction and Fixation of Tibial Spine Avulsion Fractures by a Stainless Steel Wiring Technique Mohamed M. Abdelhamid, M.D., Maysara Abdelhalim.

Combined Anatomic Reconstruction of the Anterior Cruciate and Anterolateral Ligaments Using Hamstring Graft Through a Single Femoral Tunnel and With a.

Jung Ho Noh, M. D. , Ph. D. , Kyoung Ho Yoon, M. D. , Ph. D

A Surgical Trick for Adjusting an Inaccurate Guide Pin to the Center of the Tibial Footprint in Anatomic Single-Bundle Anterior Cruciate Ligament Reconstruction

Combined Double Bundle Anterior Cruciate Ligament Reconstruction and Anterolateral Ligament Reconstruction Iñaki Mediavilla, M.D., Ph.D., Mikel Aramberri,

Minimally Invasive Quadriceps Tendon Harvest and Graft Preparation for All-Inside Anterior Cruciate Ligament Reconstruction Harris S. Slone, M.D., William.

Posterior Cruciate Ligament Reconstruction with Retrograde Femoral Technique, Posterior Trans-septal Portal and Full Tibial Tunnel Man Soo Kim, M.D.,

The Quad Link Technique for an All-Soft-Tissue Quadriceps Graft in Minimally Invasive, All-Inside Anterior Cruciate Ligament Reconstruction Gregory R.

Emily Harnden, M. D. , Timothy Lin, M. D. , M. S. , Adam Wilson, M. D

Direct Visualization of Existing Footprint and Outside-In Drilling of the Femoral Tunnel in Anterior Cruciate Ligament Reconstruction in the Knee E.

Davide Edoardo Bonasia, M. D. , Federico Dettoni, M. D

Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction With a Free Quadriceps Tendon Autograft Sergiu Caterev, M.D., Dan Viorel Nistor, M.D.,

Anatomic Outside-In Anterior Cruciate Ligament Reconstruction Using a Suspension Device for Femoral Fixation Alejandro Espejo-Baena, M.D., Alejandro.

Combined Anterior Cruciate Ligament and Posterolateral Corner Reconstruction by Hamstring Tendon Autografts Through a Single Femoral Tunnel by Graft-to-Graft.

Double-Bundle, All-Inside Posterior Cruciate Ligament Reconstruction: A Technique Using 2 Separate Autologous Grafts Roy A.G. Hoogeslag, M.D., Bart W.

Kunbo Park, M. D. , Christopher M. Brusalis, B. A. , Theodore J

Physeal-Sparing Technique for Femoral Tunnel Drilling in Pediatric Anterior Cruciate Ligament Reconstruction Using a Posteromedial Portal Stephen E.

Jean-Romain Delaloye, M. D. , Jozef Murar, M. D

Primary Anterior Cruciate Ligament Single-Bundle Repair With Augmentation for a Partial Anterior Cruciate Ligament Tear Aaron Michael Gipsman, M.D.,

Arthroscopic Posterior Cruciate Ligament Reconstruction With Remnant Preservation Using a Posterior Trans-septal Portal Dhong Won Lee, M.D., Hyeuk Woo.

The Tibial Tug Test: An Intraoperative Test to Assess Tibial Fixation During Anterior Cruciate Ligament Reconstruction Nicholas Elena, M.D., Brittany.

Attique Vasdev, M. S. , Ashok Rajgopal, M. S. , M. Ch. , F. R. C. S

Intra-articular Anterior Cruciate Ligament Reconstruction With Extra-articular Lateral Tenodesis of the Iliotibial Band João Luiz Ellera Gomes, M.D.,

An Anterior Cruciate Ligament Reconstruction Technique With 4-Strand Semitendinosus Grafts, Using Outside-In Tibial Tunnel Drilling and Suspensory Fixation.

Biologic and Mechanical Augmentation in Anterior Cruciate Ligament Reconstruction: Fibrin Clot Augmentation of 5-Strand Hamstring Autograft Michael H.

A Transosseous Bone Bridge Repair for Posterior Horn Meniscal Root Tears During Anterior Cruciate Ligament Reconstruction Jonathan M. Frank, M.D., Daniel.

Double-Bundle “All-Inside” Posterior Cruciate Ligament Reconstruction

Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction with Hamstring Tendon Autograft through Single Femoral Tunnel and Single Branched Tibial.

Concomitant Arthroscopic Meniscal Allograft Transplantation and Anterior Cruciate Ligament Reconstruction Bryan M. Saltzman, M.D., Justin W. Griffin,

All-Epiphyseal Anterior Cruciate Ligament Reconstruction in Skeletally Immature Patients: A Surgical Technique Using a Split Tibial Tunnel Marios G.

Posterior Cruciate Ligament Reconstruction with Retrograde Femoral Technique, Posterior Trans-septal Portal and Full Tibial Tunnel Man Soo Kim, M.D.,

Lateral Meniscus Allograft Transplantation: The Bone Plug Technique

Seating of TightRope RT Button Under Direct Arthroscopic Visualization in Anterior Cruciate Ligament Reconstruction to Prevent Potential Complications

Matthew R. Prince, D. O. , Michael J. Stuart, M. D. , Alexander H

Augmentation of Anterior Cruciate Ligament Reconstruction With Bone Marrow Concentrate and a Suture Tape Chad Lavender, M.D., Brock Johnson, M.D., Adam.

Minimally Invasive Quadriceps Tendon Harvest and Graft Preparation for All-Inside Anterior Cruciate Ligament Reconstruction Harris S. Slone, M.D., William.

Alternate Method of Arthroscopically Confirming Femoral Button Deployment for Knee Anterior Cruciate Ligament Graft Suspensory Cortical Fixation Rajamani.

The Crossing Internal Suture Augmentation Technique to Protect the All-Inside Anterior Cruciate Ligament Reconstruction Graft Mohamed Aboalata, M.D.,

Emily Harnden, M. D. , Timothy Lin, M. D. , M. S. , Adam Wilson, M. D

Jeffrey F. Rasmussen, M.D., Kyle P. Lavery, M.D., Aman Dhawan, M.D.

Transosseous Medial Meniscal Root Repair Using a Modified Mason-Allen Suture Configuration Chad D. Lavender, M.D., Shane R. Hanzlik, M.D., Paul E. Caldwell,

Robert Petretta, M.D., F.R.C.S.C., Vipul Mandalia, M.B.B.S, F.R.C.S.C.

All-Inside Posterior Cruciate Ligament Reconstruction With a GraftLink

Anatomic Single-Bundle Anterior Cruciate Ligament Reconstruction Using the Modified Transtibial Technique Dhong Won Lee, M.D., Jin Goo Kim, M.D., Ph.D.

Femoral Footprint Reconstruction With a Direct Viewing of the Posterior Insertion Using a Trans-Septal Portal in the Outside-In Anterior Cruciate Ligament.

The Fertilized Anterior Cruciate Ligament: An All-Inside Anterior Cruciate Ligament Reconstruction Augmented With Amnion, Bone Marrow Concentrate, and.

Davide Edoardo Bonasia, M. D. , Federico Dettoni, M. D

Savan D. Patel, M. D. , Peter J. Boxley, B. A. , Richard W. Kang, M. S

Primary Anterior Cruciate Ligament Single-Bundle Repair With Augmentation for a Partial Anterior Cruciate Ligament Tear Aaron Michael Gipsman, M.D.,

Presentation transcript:

All-Epiphyseal, All-Inside Anterior Cruciate Ligament Reconstruction Technique for Skeletally Immature Patients Moira M. McCarthy, M.D., Jessica Graziano, P.T.,D.P.T., Daniel W. Green, M.D., Frank A. Cordasco, M.D. Arthroscopy Techniques Volume 1, Issue 2, Pages e231-e239 (December 2012) DOI: 10.1016/j.eats.2012.08.005 Copyright © 2012 Arthroscopy Association of North America Terms and Conditions

Figure 1 The graft is a quadrupled semitendinosus autograft secured with 2 TightRope RT devices in the GraftLink technique. Graft length is between 50 and 55 mm, with a diameter between 7 and 8 mm. The graft is tensioned at 20 lb for 5 minutes. Arthroscopy Techniques 2012 1, e231-e239DOI: (10.1016/j.eats.2012.08.005) Copyright © 2012 Arthroscopy Association of North America Terms and Conditions

Figure 2 (A) The femoral footprint is debrided while the surgeon is viewing with arthroscopes using both 70° and 30° lenses from the anterolateral portal. This is a view using the 70° lens. The tunnel is planned for the center of the femoral footprint, approximately 2 to 3 mm from the back wall. (B) The tunnel is drilled by first placing the outside-in femoral guide through the anterolateral portal. Once the appropriate position is verified by fluoroscopy, the FlipCutter is opened and the tunnel is drilled retrograde while the surgeon is viewing with either a 30° or 70° arthroscope from the anteromedial portal. (C) The tunnel, viewed from the anterolateral portal, with a bone bridge to the lateral cortex of at least 7 mm, is tagged with a FiberStick for later graft passage. Arthroscopy Techniques 2012 1, e231-e239DOI: (10.1016/j.eats.2012.08.005) Copyright © 2012 Arthroscopy Association of North America Terms and Conditions

Figure 3 (A) The tibial footprint, as viewed through the anterolateral portal with a 70° arthroscope, is debrided. The tunnel is planned for the center of the tibial footprint. Again, the FlipCutter is drilled from outside in completely within the epiphysis. Once appropriate position is confirmed by fluoroscopy on the anteroposterior and lateral views, the FlipCutter is opened and the tunnel is drilled antegrade. (B) Views of the tibial tunnel from the anterolateral portal using a 70° arthroscope. The guide is malleted through the cortex to ensure a bone bridge of at least 7 mm between the graft and the suture button. Arthroscopy Techniques 2012 1, e231-e239DOI: (10.1016/j.eats.2012.08.005) Copyright © 2012 Arthroscopy Association of North America Terms and Conditions

Figure 4 Views of intra-articular portion of all-epiphyseal ACL reconstruction from anterolateral portal. Arthroscopy Techniques 2012 1, e231-e239DOI: (10.1016/j.eats.2012.08.005) Copyright © 2012 Arthroscopy Association of North America Terms and Conditions

Figure 5 Radiographs of all-epiphyseal ACL reconstruction and fixation with GraftLink RT. Arthroscopy Techniques 2012 1, e231-e239DOI: (10.1016/j.eats.2012.08.005) Copyright © 2012 Arthroscopy Association of North America Terms and Conditions