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Advances in the three-portal technique for anatomical single- or double-bundle ACL reconstruction
PURPOSE: To describe the “three-portal technique for anatomical ACL single- or double-bundle reconstruction” and the arthroscopic viewing improvement provided by this technique. METHODS: A “high” anterolateral portal was placed 1 cm lateral to the patellar tendon and the most inferior portion of the...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer-Verlag
2011
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3136708/ https://www.ncbi.nlm.nih.gov/pubmed/21311862 http://dx.doi.org/10.1007/s00167-011-1426-z |
Sumario: | PURPOSE: To describe the “three-portal technique for anatomical ACL single- or double-bundle reconstruction” and the arthroscopic viewing improvement provided by this technique. METHODS: A “high” anterolateral portal was placed 1 cm lateral to the patellar tendon and the most inferior portion of the portal at the level of the inferior pole of the patella. A “central” portal was placed using a spinal needle under arthroscopic visualization following the orientation of the previous ACL fibers. An accessory medial portal was also placed using a spinal needle respecting a 2-mm distance to the medial femoral condyle. RESULTS: The “high” anterolateral portal permitted a broad and unobstructed view of the ACL tibial attachment. The “central” portal allowed a straightforward view of the ACL femoral remnant and bony landmarks in the intercondylar notch. The accessory medial portal enabled to reach the femoral native insertion site of the ACL. CONCLUSION: The three-portal technique provides a proper view of the soft tissue remnants and bony landmarks facilitating an anatomical positioning of the graft. |
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