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Year : 2001  |  Volume : 35  |  Issue : 1  |  Page : 25-30

Anterior Cruciate Ligament Reconstruction By Mini-Arthrotomy Method

Correspondence Address:
M. S Dhillon

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Source of Support: None, Conflict of Interest: None

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A series of 40 cases, predominantly males, is presented where ACL reconstruction was done utilizing the medial third of the patellar tendon, which was implanted by a “mini-arthrotomy”. The procedure is definitely easier than the totally arthroscopic method, does not involve sophisticated instrumentation and can be easily used by a surgeon in the initial stages of his learning curve. The capsular incision was only 2 inches long and was a deeper extension of the incision which was used for graft harvesting. There was excellent visualization of the intercondylar notch as well as the femoral and tibial tunnel sites. Graft passage was easier, and the post- operative rehabilitation was the same as with the arthroscopic methods. We encountered no complications due to the use of the medial third of the patellar tendon with respect to patellar tracking. This procedure is recommended as a good option for surgeons who are not well versed with arthroscopic ACL reconstructions or have limited facilities.

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