Sam K. Yasen, M. B. B. S. , B. Sc. (Hons), M. R. C. S. , James S

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Presentation transcript:

TriLink: Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction Sam K. Yasen, M.B.B.S., B.Sc.(Hons), M.R.C.S., James S. Logan, M.B.B.S., B.Sc.(Hons), M.R.C.S., James O. Smith, B.M., B.Sc.(Hons), M.R.C.S., Tamara Nancoo, M.B.B.Chir., P.G.Dip.(SEM), F.R.C.S.(Tr&Orth), Mike J. Risebury, M.A.(Hons), M.B.B.S.(Hons), F.R.C.S.(Tr&Orth), Adrian J. Wilson, M.B.B.S., B.Sc.(Hons), F.R.C.S.(Tr&Orth) Arthroscopy Techniques Volume 3, Issue 1, Pages e13-e20 (February 2014) DOI: 10.1016/j.eats.2013.08.004 Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 1 TransLateral instrumentation. (A) Aiming jig for retrograde drill (FlipCutter). (B) Calibrated RF ablator (Caliblator). (C) Calibrated measuring/marking tool. (D) Use of femoral aimer and FlipCutter in a left knee. Arthroscopy Techniques 2014 3, e13-e20DOI: (10.1016/j.eats.2013.08.004) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 2 Representation of modified positions of AL and AM portals used for TransLateral technique, as depicted in a draped left knee. Arthroscopy Techniques 2014 3, e13-e20DOI: (10.1016/j.eats.2013.08.004) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 3 Preparation of semitendinosus tendon as trifurcate TriLink graft. (A) Two TightRopes are loaded onto the semitendinosus, which is looped and secured. (B) A third TightRope is loaded at the mid position. (C) The tibial end is sutured, creating a 4-stranded limb and 2 double-stranded femoral limbs. Arthroscopy Techniques 2014 3, e13-e20DOI: (10.1016/j.eats.2013.08.004) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 4 Referencing of anatomic locations of AM and PL femoral bundles by direct measurement technique. Arthroscopy Techniques 2014 3, e13-e20DOI: (10.1016/j.eats.2013.08.004) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 5 Passport cannula in the AM portal of a right knee used for retrieval of passing sutures during TriLink graft deployment. Arthroscopy Techniques 2014 3, e13-e20DOI: (10.1016/j.eats.2013.08.004) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions