ACL reconstruction, hamstring autograft

Sample contentAn illustrative outline. It has not been clinically reviewed.

Orthopedics · Advanced · 6 steps · Outline

Photo: Ligamentaxis · CC BY-SA 4.0 · Illustrative, not from this case
Written outline

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6 steps

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Anatomic tunnel placement is the whole operation. Everything else supports it.

Step by step

  1. 01

    Exam under anaesthesia

    Lachman and pivot shift to confirm instability.

  2. 02

    Graft harvest

    Semitendinosus and gracilis via anteromedial tibial incision.

  3. 03

    Diagnostic arthroscopy

    Standard portals; treat meniscal pathology.

  4. 04

    Femoral tunnel

    Anatomic footprint via anteromedial portal, behind the resident's ridge.

  5. 05

    Tibial tunnel

    Guide set to footprint centre; avoid anterior placement.

  6. 06

    Graft passage & fixation

    Tension in near extension; fixation both sides; check impingement.

An educational outline, not a substitute for supervised clinical training or local protocols.

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