Anterior Cruciate Ligament Reconstruction With Bone–Patellar Tendon–Bone Autograft and a Medial Parapatellar Portal

Abstract

Anterior cruciate ligament (ACL) reconstruction is one of the most extensively studied surgical procedures in orthopaedics. The importance of this ligament for knee function and stability has been widely studied. For athletes who participate in activities involving cutting, twisting, and running, surgical reconstruction of the ACL has become the standard of care. However, there is much debate regarding the techniques involved in ACL reconstruction, including graft choice, technique of drilling the femoral tunnel, and single- versus double-bundle reconstruction. In recent studies, ACL femoral tunnel drilling via a medial parapatellar or accessory anteromedial portal provides a more anatomic graft placement than transtibial femoral drilling. Long-term outcomes of these techniques have not been widely studied. This article details our technique for ACL reconstruction with bone-patellar tendon-bone autograft and a medial parapatellar portal.

Predicting the graft diameter of the peroneus longus tendon for anterior cruciate ligament reconstruction

“…[ 22 , 23 ] Accordingly, more ideal alternative grafts should be identified to fascinate ACLR. [ 24 – 26 ] Among them, the peroneus longus tendon (PLT) has proven to be a promising graft and it has been reported to be safe and efficient. [ 27 – 29 ] However, there are no studies investigating the importance of anthropometric parameters regarding the PLT diameter so far.…”