title: Anatomical reconstruction of the anterior cruciate ligament: a logical approach.
abstract: We describe the surgical approach that we have used over the last years for anterior cruciate ligament (ACL) reconstruction, highlighting the importance of arthroscopic viewing through the anteromedial portal (AMP) and femoral tunnel drilling through an accessory anteromedial portal (AMP). The AMP allows direct view of the ACL femoral insertion site on the medial aspect of the lateral femoral condyle, does not require guides for anatomic femoral tunnel reaming, prevents an additional lateral incision in the distal third of the thigh (as would be unavoidable when the outside-in technique is used) and also can be used for double-bundle ACL reconstruction.
authors.affiliation: Orthopedics and Traumatology Service, Faculdade de Ciências Médicas e da Saúde de Sorocaba, Pontifícia Universidade Católica de São Paulo (PUC-SP), Sorocaba, SP, Brazil.
authors.forename: Julio Cesar
authors.initials: JC
authors.lastname: Gali
keywords: Anterior cruciate ligament reconstruction; Knee trauma/surgery; Minimally invasive surgical procedures