Abstract
In 24 cadaver knees the anterior cruciate ligament (ACL) was replaced by a bone-tendon-bone patellar tendon autograft in an endoscopic technique. This was carried out during an advanced arthroscopy course after intensive instruction and practice on a plastic model. When the knees were opened and evaluated according to the recent orthopaedic literature, only four good results with correct tunnels and a non-impinging graft were found. In 12 knees the femoral tunnel was too far anterior (10) or had broken through the posterior femoral cortex (2). In 6 knees the tibial tunnel was too far anterior (2) or too far posterior (4). The notchplasty was insufficient in 6 knees. We conclude that endoscopic ACL reconstruction cannot be mastered after attending a course alone. Expert help is necessary during the first clinical cases.
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Kohn, D., Busche, T. & Carls, J. Drill hole position in endoscopic anterior cruciate ligament reconstruction Results of an advanced arthroscopy course. Knee Surgery 6 (Suppl 1), S13–S15 (1998). https://doi.org/10.1007/s001670050216
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DOI: https://doi.org/10.1007/s001670050216