Orthopedics & Orthopedic Surgery
Area of Focus: Arthroscopy and Sports Medicine
Surgical reconstruction of the anterior cruciate ligament (ACL) is performed to restore functional stability to the ACL-deficient knee and prevent meniscal damage from an unstable joint. Much progress has been made in developing surgical techniques for ACL reconstruction, allowing for surgery to be performed for individuals of almost any age who wish to remain active. Recent research has established the anatomic anatomy of the ACL; now surgeons can correctly and anatomically reconstruct the ACL origin and insertion.
In this video, we describe a technique to anatomically reconstruct the ACL using the standard anterolateral and anteromedial portals as well as an accessory medial portal. We demonstrate that this accessory medial portal is necessary for a true anatomic reconstruction while also showing why a transtibial technique does not achieve similar anatomic placement. The senior author has performed over 250 ACL reconstructions with this technique and has excellent clinical results with an average KT-1000 score of 1mm at 6 months. When examined at 6 months by the senior author and an independent examiner, no 1+ or greater pivot shifts were noted.