Specialized Toolkit Series: ACL Reconstruction-Trans-Tibial Femoral Tunnel

Video Transcription

Video Summary

The video describes a detailed surgical procedure for preparing and positioning a graft in ligament reconstruction, likely an ACL surgery. The speaker measures the lengths of the tendon and its bone plugs and explains their significance. They prefer using a tibial-side bone plug on the femur for better control and subsequently mark the graft for accurate placement. The procedure involves creating a tibial tunnel using a 45-degree guide to achieve an optimal angle to the femur. Various tools and techniques are employed to ensure precise placement, including reaming and gradually enlarging the tunnel. The graft is then carefully positioned through the tibial tunnel to the femoral tunnel without needing a guide pin. The surgeon checks the alignment and ensures that the graft is tensioned and positioned correctly, without impinging on surrounding structures, to ensure successful surgery results. The process emphasizes precision and careful manipulation to avoid complications.

Asset Caption

Jeffrey Dugas, M.D..

Keywords

ACL surgery

ligament reconstruction

graft positioning

tibial tunnel

surgical precision