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Knee Surgery, Sports Traumatology, Arthroscopy

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Open Access 01-07-2009 | Knee

Arthroscopic evaluation of the ACL double bundle structure

Authors: Hanno Steckel, F. H. Fu, M. H. Baums, H. M. Klinger

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 7/2009

Abstract

In order to describe the arthroscopic presence of the double bundle structure and to evaluate the value of different portals in knee arthroscopy, we assessed the AM and PL bundle anatomy. We prospectively examined the knees of 60 patients undergoing arthroscopic surgery for pathology unrelated to the ACL. Arthroscopy was performed in a two portal technique using an anterolateral (ALP) and an anteromedial (AMP) portal. With the arthroscope in the ALP, we could distinguish an AM and PL bundle in 28%. Switching the arthroscope to the AMP, differentiation of the bundles was possible in 67%. In all remaining cases visualization of the PL bundle was possible after retraction of the AM bundle. Use of AMP increased visualization of the PL bundle. It seems reasonable to perform arthroscopy for ACL reconstruction with the arthroscope in the AMP and to establish an additional medial working portal to increase the visualization of the femoral ACL insertion sites for optimal femoral tunnel placement.

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Title: Arthroscopic evaluation of the ACL double bundle structure
Authors: Hanno Steckel
F. H. Fu
M. H. Baums
H. M. Klinger
Publication date: 01-07-2009
Publisher: Springer-Verlag
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 7/2009
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-009-0783-3

At a glance: The STEP trials

Springer Medicine

Arthroscopic evaluation of the ACL double bundle structure

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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