Allograft ACL Reconstruction Surgery
Performed by Kevin R. Stone, MD · 2014 · San Francisco, CA
Quick Facts
- Procedure Type
- ACL Reconstruction
- Graft Type
- Quadriceps Tendon Allograft
- Technique
- Three-Portal Arthroscopic
- Anesthesia
- General or Regional
Related Research
View Ligament StudiesSummary
This video demonstrates Dr. Stone's technique for ACL reconstruction using a quadriceps tendon allograft. The procedure utilizes a three-portal arthroscopic approach that minimizes surgical trauma while ensuring precise anatomic graft placement.
The use of quadriceps tendon allograft avoids the morbidity of autograft harvest, including anterior knee pain, weakness, and the additional surgical time required for graft harvesting. Quadriceps tendon is significantly thicker and stronger than other commonly used allograft tissues.
Transcript
[00:05] Our technique of ACL reconstruction involves what we call a three portal technique after arthroscopic treatment of other problems within the knee.
[01:14] Usually at around the three or nine o'clock position care is taken to ensure that the tip of the guide and the subsequent guide pin exit within a few millimeters of the posterior margin of the intercondylar notch.
[02:48] Attention is then turned to the ACL allograft. We prefer a re-shaped bone patella tendon bone allograft that has been washed with one of the cleaning techniques.
[03:59] The fixation is visualized with the arthroscope in the tunnel in order to ensure accurate placement and no protrusion.
[04:45] It should be noted that in our post-op program, full weight bearing and range of motion is permitted immediately.