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Chap. 15 Video 3: Revision Single Bundle ACL Reconstruction Using BPTB Autograft pt 2

February 05, 2016

Contributors: Bernard R Bach Jr, MD

This video demonstrates the second part of two for a revision single bundle ACL reconstruction using a transfibular endoscopic technique with a bone-tendon-bone autograft for a 19 year old female athlete. The orientation of the guide pin is checked in flexion and extension. The femoral tunnel is drilled with a cannulated reamer, and the removed bone is saved for grafting, and the tibial tunnel is cleared with a shaver. The graft is delivered into the femoral tunnel intraarticularly, and the knee is hyperflexed while placing the interference screw. Improvements in Lachman and pivot shift tests are demonstrated. The tibial plug is rotated 180° and secured with an interference screw with the knee in extension. The screw is placed on the cortical edge of the anterior aspect of the bone plug. Pivot shift and translation are tested for, Marcaine is used intraarticularly and in the surgical wound, and rehab and physical therapy are discussed.

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