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ACL reconstruction Harstring graft
Position and Draping
Anesthesia
GA/SA
Position
Supine
Draping
1.Sterile drape (餐巾) for disinfection
2.Extremity Drape/Knee drape
3.Crepe for tourniquet
Procedure
Procedure
1.Start pneumatic tourniquet
2.Skin incision with surgical blade #10
3.Tendon dissected and harvested with tendon stripper
4.Measured with endobutton depth probe
5.Prepare tendon with graftmaster II board
6.Anchor endobutton to endobutton holder
7.Create portal for arthroscope with surgical blade 11 and crile’s artery forceps (straight); then insert shaver and instrument
8.Remove ACL stump and clear-up the joint environment with shaver
9.Prepare tibial tunnel with ACL guide, 2.4mm drill tip guide pin and appropriated cannulated endoscopic drill accordingly Femoral offset guide and guide pin inserted
10.Prepare femoral tunnel with femoral offset guide, 2.4mm drill tip guide pin, appropriate cannulated endoscopic drill and 4.5mm endobutton drill accordingly
11.Insert the tendon graft along the tibial and femoral tunnels with the help of a long eyelet guide pin
12.Insert interference screws at both sides of the tendon graft to anchor the tibial and femoral insertions of the graft
13.Release tourniquet
14.Perform haemostasis with diathermy
15.+/-Insert Fr 10 Redivac drain
Wound closing
Vicryl 1, Vicryl 2/O and Ethilon 3/O
Cosmopore (S)
Plain gauze
Instrument and Consumable
