Volume 25, Issue 1 , Pages 95-101, January 2009
Anteromedial Portal Technique for the Anterior Cruciate Ligament Femoral Socket: Pitfalls and Solutions
Abstract
Creating the anterior cruciate ligament (ACL) femoral socket using the anteromedial (AM) portal technique has advantages. Furthermore, the technique is ideal for anatomic double-bundle (particularly posterolateral bundle) and all-inside ACL techniques. However, although the AM portal technique has advantages, the learning curve is steep when making the transition from familiar, transtibial reaming to the AM portal technique for ACL femoral tunnel creation. Complications and challenges are many when learning the AM portal technique. The purpose of this technical note is to describe tips and pearls for surgeons contemplating the transition to the AM portal technique for the ACL femoral socket.
Key Words: Anterior cruciate ligament, Anteromedial portal technique, Transportal Guide, All inside, Retroconstruction, Double bundle
The author has a consulting relationship with Arthrex, Naples, Florida, related to the topic of this article.
Note: To access the supplementary video accompanying this report, visit the January issue of Arthroscopy at www.arthroscopyjournal.org.
PII: S0749-8063(08)00811-6
doi:10.1016/j.arthro.2008.10.012
© 2009 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.
Volume 25, Issue 1 , Pages 95-101, January 2009



