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

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Primary Anterior Cruciate Ligament Single-Bundle Repair With Augmentation for a Partial Anterior Cruciate Ligament Tear Aaron Michael Gipsman, M.D., Nicholas Trasolini, M.D., George F. “Rick” Hatch, M.D. Arthroscopy Techniques Volume 7, Issue 4, Pages e367-e372 (April 2018) DOI: 10.1016/j.eats.2017.10.006 Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 1 Anterolateral portal, 30° scope, right knee. ACL femoral avulsion with intact anteromedial bundle. Arthroscopy Techniques 2018 7, e367-e372DOI: (10.1016/j.eats.2017.10.006) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 2 Anterolateral portal, 30° scope, right knee. Pass 4 FiberLinks (Arthrex, Naples, FL) 2 blue and 2 white, through ACL remnant. Arthroscopy Techniques 2018 7, e367-e372DOI: (10.1016/j.eats.2017.10.006) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 3 Anterolateral portal, 30° scope, right knee. Pass 4 FiberLinks (Arthrex, Naples, FL), 2 blue and 2 white, through ACL remnant. Arthroscopy Techniques 2018 7, e367-e372DOI: (10.1016/j.eats.2017.10.006) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 4 Anterolateral portal, 30° scope, right knee. Pass 4 FiberLinks (Arthrex, Naples, FL) 2 blue and 2 white, through ACL remnant. Arthroscopy Techniques 2018 7, e367-e372DOI: (10.1016/j.eats.2017.10.006) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 5 Anterolateral portal, 30° scope, right knee. Femoral drill guide set to 110 degrees through the anterolateral portal. Position guide within avulsed femoral origin and then drill. Arthroscopy Techniques 2018 7, e367-e372DOI: (10.1016/j.eats.2017.10.006) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 6 Anterolateral portal, 30° scope, right knee. Position tibial drill guide within the center of the footprint, set on 55 degrees. Do not deploy flipcutter to avoid damage to native fibers. Arthroscopy Techniques 2018 7, e367-e372DOI: (10.1016/j.eats.2017.10.006) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 7 Anterolateral portal, 30° scope, right knee. Pass looped FiberTape (Arthrex, Naples, FL) into the femoral tunnel using a passing suture. Arthroscopy Techniques 2018 7, e367-e372DOI: (10.1016/j.eats.2017.10.006) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 8 Anterolateral portal, 30° scope, right knee. Pass looped FiberTape (Arthrex, Naples, FL) into the tibial tunnel using a passing suture. Arthroscopy Techniques 2018 7, e367-e372DOI: (10.1016/j.eats.2017.10.006) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 9 Anterolateral portal, 30° scope, right knee. Tension repair and augmentation to desired tension. Cycle knee, and then tie sutures over button on femoral side with knee in full extension and a slight posterior drawer. Then, use a suture anchor for tibial side. Arthroscopy Techniques 2018 7, e367-e372DOI: (10.1016/j.eats.2017.10.006) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 10 Diagram of the augmentation construct. Arthroscopy Techniques 2018 7, e367-e372DOI: (10.1016/j.eats.2017.10.006) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 11 Diagram of the primary repair incorporated with the augmentation construct. (ACL, anterior cruciate ligament.) Arthroscopy Techniques 2018 7, e367-e372DOI: (10.1016/j.eats.2017.10.006) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions