ACL Avulsion Reattachment - Suture Bridge Technique

Description

In this video, Sharath Ramanath discusses the procedure for fixing an ACL avulsion injury one day post-injury. The focus is on evaluating the integrity of the ACL and ensuring that the meniscus remains intact before proceeding with the surgical fixation. The presentation outlines the removal of surrounding fat pads, hematoma, and bone fragments to facilitate proper reduction during the fixation process.



Ramanath explains the importance of utilizing a middle portal approach during the procedure, allowing for proper maintenance of reduction while accessing both the anteromedial and anterolateral views. He details the steps involved in creating a cinch knot, passing sutures through tunnels, and ensuring that a significant portion of the ACL is engaged to maintain stability.



The use of a shoulder scorpion is recommended to acquire adequate bites from the avulsed ACL. The author demonstrates how to shift scopes and take bites from both portals simultaneously. Throughout the operation, he emphasizes the necessity of leaving adequate space between the tunnels for effective compression of the fragments.



The final stages of the procedure include tightening the sutures, checking the integrity and tension of the ACL, and ensuring proper reduction and alignment of fragments. The technique demonstrated aims to ensure optimal healing of the ACL while minimizing the risk of fragment dislodgement. The video concludes with a summary of the key steps, inviting viewers to engage with the content.



Overall, the video serves as an instructional resource for medical professionals involved in orthopedic surgery, particularly in the management of ACL injuries.

Specialties