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Berlin Way of ACL Reconstruction
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This is a modified ACL Technique using Biodegradable Interference Screws and a Double Hamstring Graft.
(Click on the thumbnail to zoom)

1) Positioning 90° |

2) Positioning 120° |

3) Infiltration of Skin andJoint |

4) Isolation of SemiT |

5) Freeing of the Tendon |

6) Insertion of Tendonstripper |

7) Stripping of the Tendon |

8) Cleaning off Musculature |

9) Making a Double Bundle |

10) Suturing of both Ends |

11) Femoral Pilothole |

12) Femoral Socket |

13) Notching for Screw |

14) Tibial Exit |

15) Tibial Exit Pilothole |

14) Controle in Extension |

15) Tibial Tunnel entrance |

16) Tibial Tunnel Guide |

17) Drilling of Tibial Entrance |

18) Dilation of Tibial Tunnel |

19) Impingment Test in Flexion |

20) Impingment Test in Extension |

21) Pull-through Suture |

22) Graft-Insertion |

23) Femoral Screw |

24) Tensioning of Graft |

25) Tibial Screw |

26) Finished Reconstruction |
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1998 Andreas C. Staehelin, Basel, Switzerland