Preparation of the Femoral Tunnel through Anteromedial Portal during Arthroscopic Single Incision Anterior Cruciate Ligament Reconstruction.
- Author:
Kwon Jae ROH
;
Dong Wook KIM
;
Jae Doo YOO
- Publication Type:Original Article
- Keywords:
Knee;
Anterior cruciate ligament reconstruction;
Endoscopic;
Modified technique
- MeSH:
Anterior Cruciate Ligament Reconstruction*;
Anterior Cruciate Ligament*;
Knee;
Lacerations;
Transplants
- From:Journal of the Korean Knee Society
1998;10(1):34-39
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The original technique for endoscopic anterior cruciate ligament reconstruction has several potential complications because of constraints imposed by working through the tibial tunnel: improper femoral tunnel placement, violation of the femoral tunnel posterior wall, femoral interferenc screw divergence, graft laceration during screw insertion, and distal tibial bone block prr>trusion. We performed 25 endoscopic anterior cruciate ligament reconstructions with bone-tendon-bone graft using a mo3ified technique that minimizes each of these problems, through the use of a anteromedial portal more centrally and distally placed than the original that portal. Postoperative radiographic review showed femoral screw divergence in 20% of cases (2 in the anteroposterior plane, 2 in the lateral plane and 1 in both planes), but the average angles (AP: 0.52+- 1.85, Lateral: 1.48+-3.30) were insignificant. There was no graft damage during screw insertion or grafttunnel mismatch. We concluded that this modified technique allows simplified, reproducible tunnel and interference screw placement.
