ACL-Reconstruction with Patellar Tendon

List of all figures


Operative technique   |  Back to the Table of Contents

  1. Graft-Harvest

    1. Skin incisions (10 K)
    2. Exposure of the tendon with the "Seahorse" (6 K)
    3. Marking of the patellar bone plug (16 K)
    4. Tendon cuts, frontal view (15 K)
    5. Tendon cuts, lateral view (15 K)
    6. Detachment of the fat pad, frontal view (16 K)
    7. Detachment of the fat pad, lateral view (21 K)
    8. Insertion of patellar bone plug cutter, frontal view (14 K)
    9. Insertion of bone plug cutter, lateral view (17 K)
    10. Insertion of patellar bone plug cutter, crossection (7 K)
    11. Insertion of tibial bone plug cutter, frontal view (16 K)
    12. Insertion of the tibial bone plug cutter, lateral view (16 K)
    13. Insertion of the tibial bone plug cutter, crossection (7 K)
    14. Drilling of the hole for the cerclage wire (10 K)
    15. Graft (7 K)
    16. Harvest of a bone plug from the proximal tibia (7 K)
    17. Bone-grafting of patellar defect (3 K)

  2. Graft-Preparation

    1. Measuring of the graft-length (21 K)
    2. Graft-preparation (16 K)

  3. Arthroscopy

    1. Arthroscopy portals (16 K)

  4. Notch-Plasty

    1. Debridement of old ACL (12 K)
    2. Notch-Plasty, frontal view (8 K)
    3. Notch-Plasty, lateral view (9 K)

  5. Femoral Socket

    1. Entrance of femoral socket (8 K)
    2. Excavation of the entrance for the femoral socket (9 K)
    3. Creation of pilot-hole using the screwdriver (10 K)
    4. Insertion of the femoral dilator, frontal view (12 K)
    5. Insertion of the femoral dilator, lateral view (13 K)
    6. Crossection of the femoral socket (10 K)

  6. Tibial Tunnel

    1. Exit of the tibial tunnel in the knee joint (9 K)
    2. Tibial tunnel entrance, frontal view (10 K)
    3. Positioning of the drill guide (14 K)
    4. Tibial tunnel, frontal view (21 K)
    5. Tibial tunnel, lateral view (16 K)
    6. Tibial tunnel, crossection (10 K)
    7. Manual correction of the tunnel exit (12 K)
    8. Impingement control in flexion (15 K)
    9. Impingement control in extension (7 K)

  7. Graft-Passage

    1. Graft-passage (12 K)

  8. Graft-Fixation

    1. Femoral interference fixation, lateral view (16 K)
    2. Femoral interference fixation, crossection (5 K)
    3. Pretensionning of the graft (23 K)
    4. Tibial interference fixation, lateral view (19 K)
    5. Tibial interference fixation, crossection (7 K)
    6. The finished ACL-Reconstruction (14 K)

Operative technique   |  Back to the Table of Contents

Please send any questions or comments to: kruzlifix@staehelin.ch