Anatomical reconstruction of the anterior cruciate ligament: a logical approach

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• 作者：Julio Cesar Gali ^{juliogali@globo.com" class="auth_mail" title="E-mail the corresponding author juliogali@note.med.br" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Knee trauma/surgery ; Anterior cruciate ligament reconstruction ; Minimally invasive surgical procedures
• 刊名：Revista Brasileira de Ortopedia (English Edition)
• 出版年：2015
• 出版时间：July-August 2015
• 年：2015
• 卷：50
• 期：4
• 页码：469-471
• 全文大小：852 K

文摘

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 condyle, does not require guides for anatomic femoral tunnel reaming, prevents an additional lateral incision in the distal third of the thigh (as would be unavoidable when the outside-in technique is used) and also can be used for double-bundle ACL reconstruction.