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Figure 5 | Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology

Figure 5

From: Double bundle arthroscopic Anterior Cruciate Ligament reconstruction with remnant preserving technique using a hamstring autograft

Figure 5

Creation of the passage through the longitudinal slit made in the ACL remnant. (A) Schematic drawing showing an ACL remnant (*) attached to the roof of the intercondylar notch (Group 1b). In this case, Ethibond wire loops of both femoral tunnels are retrieved by a curved hemostat through the longitudinal slit in the ACL remnant (A1). An arthroscopic grasper is subsequently used to pass the retrieved wire loops for PL and AM bundle into the created tibial PL and AM tunnels respectively (A2). (B) The ACL remnant (*) is bridging between the tibia and the anatomical femoral footprint (Group 2). In this case, Ethibond wire loop for PL bundle is retrieved by a curved hemostat through the longitudinal slit in the ACL remnant (B1). Subsequently the wire loop for PL bundle is retrieved by an arthroscopic grasper into the tibial bone tunnel for the PL bundle. On the other hand, the wire loop for AM bundle is passed above the ACL remnant, and retrieved by an arthroscopic grasper into the tibial AM bone tunnel (B2). (AM: Bone tunnel for Antero-medial bundle, PL: Bone tunnel for Posterolateral bundle)

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