Posteromedial Portal Technique With Bone-Patellar Tendon-Bone Graft for Inside-Out Revision of Anterior Cruciate Ligament Reconstruction.

ABSTRACT: Bone-patellar tendon-bone (BTB) is a graft material used in anterior cruciate ligament (ACL) reconstruction. We describe creating a femoral tunnel using an inside-out posteromedial (PM) portal technique during anatomic double-bundle ACL reconstruction with a hamstring graft. We hypothesized that applying this femoral tunnel creation method to the revision ACL reconstruction using BTB would enable reconstruction in 1 stage. In this technique, an anteromedial, an anterolateral, and a PM portal are created to confirm the original ACL footprint and location and direction of the bone tunnel during primary reconstruction. The surgeon then drills from the PM portal, so that the femoral tunnel opening touches the posterior proximal articular cartilage margin in the ACL footprint. Even if the openi

SUBMITTER: Atsumi S 

PROVIDER: S-EPMC10628055 | biostudies-literature | 2023 Oct

REPOSITORIES: biostudies-literature