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

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Presentation transcript:

The Fertilized Anterior Cruciate Ligament: An All-Inside Anterior Cruciate Ligament Reconstruction Augmented With Amnion, Bone Marrow Concentrate, and a Suture Tape  Chad Lavender, M.D., Charles Bishop, M.D.  Arthroscopy Techniques  Volume 8, Issue 6, Pages e555-e559 (June 2019) DOI: 10.1016/j.eats.2019.01.020 Copyright © 2019 Arthroscopy Association of North America Terms and Conditions

Fig 1 Standard graft-link allograft while wrapping amnion circumferentially around graft. Arthroscopy Techniques 2019 8, e555-e559DOI: (10.1016/j.eats.2019.01.020) Copyright © 2019 Arthroscopy Association of North America Terms and Conditions

Fig 2 Graft on preparation station. A No. 4-0 Vicryl suture is used to create a baseball stitch in a running fashion, which is then tied to compress the amnion. Arthroscopy Techniques 2019 8, e555-e559DOI: (10.1016/j.eats.2019.01.020) Copyright © 2019 Arthroscopy Association of North America Terms and Conditions

Fig 3 Viewing from the anterolateral portal with the 30° arthroscope, the medial portal is shown with a PassPort cannula inserted and all 3 passing sutures retrieved. Arthroscopy Techniques 2019 8, e555-e559DOI: (10.1016/j.eats.2019.01.020) Copyright © 2019 Arthroscopy Association of North America Terms and Conditions

Fig 4 Viewing outside the knee, the tibial passing sutures, InternalBrace passing sutures, and femoral passing sutures can all be seen docked. Arthroscopy Techniques 2019 8, e555-e559DOI: (10.1016/j.eats.2019.01.020) Copyright © 2019 Arthroscopy Association of North America Terms and Conditions

Fig 5 Viewing from the anterolateral portal with the 30° arthroscope, the InternalBrace is being passed from the medial portal and through the tibia. Arthroscopy Techniques 2019 8, e555-e559DOI: (10.1016/j.eats.2019.01.020) Copyright © 2019 Arthroscopy Association of North America Terms and Conditions

Fig 6 Viewing from the anterolateral portal with the 30° arthroscope, the composite graft is injected into the femoral tunnel using the arthroscopic delivery cannula. Arthroscopy Techniques 2019 8, e555-e559DOI: (10.1016/j.eats.2019.01.020) Copyright © 2019 Arthroscopy Association of North America Terms and Conditions

Fig 7 Viewing from the anteromedial portal with the 30° arthroscope, the composite graft is injected into the tibial tunnel using the arthroscopic delivery cannula. Arthroscopy Techniques 2019 8, e555-e559DOI: (10.1016/j.eats.2019.01.020) Copyright © 2019 Arthroscopy Association of North America Terms and Conditions

Fig 8 Viewing from the anterolateral portal with the 30° arthroscope, the composite graft can be seen filling the tibial tunnel. Arthroscopy Techniques 2019 8, e555-e559DOI: (10.1016/j.eats.2019.01.020) Copyright © 2019 Arthroscopy Association of North America Terms and Conditions

Fig 9 Viewing from the anterolateral portal with the 30° arthroscope, the amnion anterior cruciate ligament (ACL) can be seen within the joint. Arthroscopy Techniques 2019 8, e555-e559DOI: (10.1016/j.eats.2019.01.020) Copyright © 2019 Arthroscopy Association of North America Terms and Conditions

Fig 10 Viewing from the anterolateral portal with the 30° arthroscope, the bone marrow concentrate (BMC) is seen being injected into the amnion anterior cruciate ligament. Arthroscopy Techniques 2019 8, e555-e559DOI: (10.1016/j.eats.2019.01.020) Copyright © 2019 Arthroscopy Association of North America Terms and Conditions