Specialized Toolkit Series: ACL Reconstruction-Femoral Fixation

Video Transcription

Video Summary

This video demonstrates the creation of femoral and tibial tunnels for ACL reconstruction using a patella tendon autograft. An anteromedial technique with a flexible reamer is employed for the femoral tunnel. Key steps include docking the patella block in a retrograde manner, probing for graft orientation, drilling a 10mm femoral tunnel, and inserting a 7x20mm or 8x20mm cannulated titanium screw. The graft is marked for orientation, and a sled and notcher are used for protection and creating a notch. The guide wire is crucial for accurate screw placement, which is detailed with images in the video.

Asset Caption

Arun J. Ramappa, M.D.
Chief of Sports Medicine and Shoulder Surgery
Vice Chief of Clinical Affairs, Department of Orthopedic Surgery
Beth Israel Deaconess Medical Center
Chief of Orthopedic Surgery, Harvard University Health Services

Keywords

ACL reconstruction

patella tendon autograft

femoral tunnel

anteromedial technique

tibial tunnel

cannulated titanium screw