Abstract :
Background: The traditional transtibial approach can limit anatomical placement of the femoral tunnel in anterior
cruciate ligament (ACL) reconstruction, Placement of an ACL graft within the anatomical femoral and tibial
attachment sites is critical to the successful clinical outcome of ACL reconstruction. Surgical Technique: The
medial portal technique was used for anatomic single bundle (SB) ACL reconstruction. Methods: Between
November 2013 and October 2015, 30 ACL reconstructions were performed using the medial portal technique.
All the patients were followed for a minimum of 06 months post-operatively. Clinical evaluation was done using
the Lysholm score and International Knee Documentation Committee (IKDC) grade. Results: The mean Lysholm
and the IKDC grade showed improvement at last follow up. None of the patients had a positive pivot shift test,
anterior drawer test and Lachman test at final follow-up. Conclusion: The medial portal technique for anatomical
SB ACL reconstruction is a simple technique showing good clinical results.
Keyword :
Anterior cruciate ligament, Reconstruction, Anatomical, Single-bundle, Medial Portal Technique.