Femoral tunnel drilling from the anteromedial portal using the figure-4 position in ACL reconstruction.
نویسنده
چکیده
Creation of the femoral tunnel in anterior cruciate ligament (ACL) reconstruction via the anteromedial portal can reproducibly achieve femoral tunnel positioning at the center of the femoral ACL footprint. Anteromedial portal drilling requires knee hyperflexion, which is awkward to perform. Knee hyperflexion to 120° can easily be achieved in the figure-4 position for femoral tunnel drilling via the anteromedial portal. The leg is hyperflexed in the figure-4 position on a Mayo stand. The offset femoral guide, guidewire, and drill are placed at the femoral ACL footprint via the anteromedial portal to create the femoral tunnel.
منابع مشابه
Transtibial versus anteromedial portal reaming in anterior cruciate ligament reconstruction: an anatomic and biomechanical evaluation of surgical technique.
PURPOSE The purpose of this study was to objectively evaluate the anatomic and biomechanical outcomes of anterior cruciate ligament (ACL) reconstruction with transtibial versus anteromedial portal drilling of the femoral tunnel. METHODS Ten human cadaveric knees (5 matched pairs) without ligament injury or pre-existing arthritis underwent ACL reconstruction by either a transtibial or anterome...
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We describe the surgical approach that we have used over the last years for anterior cruciate ligament (ACL) reconstruction, highlighting the importance of arthroscopic viewing through the anteromedial portal (AMP) and femoral tunnel drilling through an accessory anteromedial portal (AMP). The AMP allows direct view of the ACL femoral insertion site on the medial aspect of the lateral femoral c...
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ورودعنوان ژورنال:
- Orthopedics
دوره 35 8 شماره
صفحات -
تاریخ انتشار 2012