Endoscopic anterior cruciate ligament reconstruction with patella tendon autograft.
The patella tendon is the most commonly used graft source for ACL reconstruction because of its biomechanical strength and stiffness, the availability of bone-to-bone healing on either end, and the ability to firmly secure the graft within the tunnels. Consistently good results have been reported in the literature, with expectations to return to all activities at pre-injury levels of performance. We outline our technique for endoscopic ACL reconstruction using a patella tendon autograft. The technique is divided into the critical stages of pre-operative assessment, graft harvest, notch preparation, tunnel placement, graft passage, graft fixation, and rehabilitation. Methods for avoiding pitfalls and overcoming mishaps are described.
Gladstone
James N
JN
Mount Sinai Medical Center, 5 East 98th Street, Box 1188, New York, NY 10029, USA. james.gladstone@msnyuhealth.org
Andrews
James R
JR
D000070598:Anterior Cruciate Ligament Injuries; D001863:Bone Screws; D006801:Humans; D007718:Knee Injuries / Q000601:surgery; D019637:Orthopedic Procedures / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000379:methods*; D013710:Tendons / Q000637:transplantation*