Video Gallery

Chap. 15 Video 1: Arthroscopic Double-Bundle ACL Reconstruction Using Quadriceps Tendon Autograft

February 05, 2016

Contributors: Sung-Jae Kim, MD; Sul-Gee Kim, MD; Sung-Hwan Kim, MD; Dae-Young Lee, MD; In-Kee Jo, MD; Yong-Min Chun, MD, PhD

This video demonstrates an arthroscopic reconstruction of the ACL using a quadriceps tendon autograft on a 30 year old male. Examination reveals grade 2 instability during the anterior drawer test, a Lachman grade 3, and a jumping during the pivot shift test. The graft is harvested with a rectangular bone plug and is split sagittally with a 3 to 2 ratio with regards to the anteromedial and posterolateral bundles. The graft is whip stitched at the ends. Portals include a high anterolateral, a low anteromedial, and an accessory anteromedial. Tunnels are reamed, and the graft is passed. The bundles are passed alternately to prevent jamming. Sutures are tensioned while the knee is cycled, and all ends are fixed with absorbable interference screws. All tests are negative and do not indicate instability, and rehab is discussed.