AnteroMedial viewing portal vs

AnteroLateral viewing portal in ACL

reconstruction
DR. PANKAJ SONI
DIRECTOR & CONSULTANT ORTHOPAEDIC SURGEON
NEW LIFE MULTISPECIALITY HOSPITAL
BHAWANIMANDI , RAJASTHAN
L M

AL AM

FAR
MEDIAL

3 cm distance between AM portal

and far medial portal
 M L

M L

Fig. A: AM viewing portal with Fig. B: AL viewing portal with

Far Medial working portal Far Medial working portal
 Lateral wall of femoral notch view of making an impression with a
bone awl for the femoral entry point
FIG. A- AM VIEWING TECHNIQUE , FIG. B – AL VIEWING TECHNIQUE
Drilling of femoral tunnel FIG. A- AM VIEWING TECHNIQUE ,
FIG. B – AL VIEWING TECHNIQUE
Measuring the depth of the tunnel by a depth gauge
FIG. A- AM VIEWING TECHNIQUE , FIG. B – AL VIEWING
TECHNIQUE
Femoral tunnel view after differential drilling FIG. A- AM
VIEWING TECHNIQUE , FIG. B – AL VIEWING TECHNIQUE
Scatter chart of centre of all femoral tunnels on lateral aspect of
notch on the lateral femoral condyle
Orange dot- AM VIEWING , Blue dot – AL VIEWING
CONCLUSION –
We found no statistical difference in position of femoral
tunnel using either Technique AM VIEWING or
technique AL VIEWING .
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