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The Ideal Anatomic ACL Reconstruction
Technique Should:
• Allow the surgeon to reproducibly place the
ACL femoral and tibial tunnels within the
native ACL attachment sites;
• Be able to be used with any type of ACL
graft;
• Allow the use of suspensory and or aperture
fixation devices;
• Achieve adequate femoral and tibial tunnel
lengths;
• Allow the surgeon to preserve intact ACL
tissue;
• Requireminimal,inexpensiveinstrumentation.
THREE PORTAL TECHNIQUE
FOR ANATOMIC SINGLE-
BUNDLE ACL
RECONSTRUCTION
Anatomic ACLR is facilitated by using a
3 portal technique. In the 3 portal technique,
the anterolateral (AL) and anteromedial (AM)
portals are used as viewing portals and the ACL
femoral tunnel is drilled through an accessory
anteromedial (AAM) portal (fig. 1).
ACL RECONSTRUCTION
TECHNIQUES: WHY I DO
INSIDE-OUT DRILLING OF
THE ACL FEMORAL TUNNEL
C.H. BROWN
Fig. 1:
Surface landmarks and arthroscopic portals:
anterolateral portal (AL), anteromedial portal (AM),
accessory anteromedial portal (AAM).