Bone tunnel establishment
ACL
ADHESION, BENDING
Femoral tunnel- Arthroscopy was performed routinely and concomitant injuries were treated. The adhesion between the anterior and posterior cruciate ligaments was removed to prevent damage to the ligament remnants. The internal opening of the femoral tunnel of the ACL is located at the end point of the anteromedial fasciculus. After cleaning the residual ligament tissues at the end point, the posterior wall of the lateral femoral condyle was exposed. Subsequently, the knee was bent for 120PCL tibial tunnel- After bending the knee for 90
Important steps in the reconstruction of ACL and PCL. ACL tibial tunnel- ACL tibial tunnel locator (Smith&Nephew) was also placed via anterior medial entrance at an angle between 40° and 45°. The locator tip was positioned in the non-impact area at internal posterior side of original ACL tibia attachment remnant (Fig. Outer part of tunnel-The inner opening of the PCL femoral tunnel was located at the anterolateral bundle end of the PCL footprint (Fig. 