Abstract
To address the technical limitations of the conventional transtibial technique and
the steep learning curve associated with double-bundle anterior cruciate ligament
(ACL) reconstruction, we have defined a novel “footprint” technique that reliably
allows for anatomic single-bundle ACL reconstruction with minimal technical complications.
The technique merges the principles of carefully defining the ACL footprint anatomy
with the use of a modified anteromedial portal reaming technique with a flexible guidewire
and reaming system. The procedure offers the advantages of an anatomic ACL reconstruction
by use of anteromedial portal reaming techniques while avoiding the significant technical
risks and pitfalls associated with double-bundle reconstruction. Our experience in
over 100 footprint ACL reconstructions has been met with excellent clinical success
with minimal intraoperative or postoperative complications. The purpose of this article
is to outline the key steps of our defined procedure that are critical to achieving
a successful outcome.
Key Words
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Article info
Publication history
Published online: August 24, 2009
Footnotes
The authors report no conflict of interest. Supported by the Institute for Sports Medicine Research (ISMR).
Identification
Copyright
© 2009 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.
