RESUMO
Background: The traditional transtibial approach can limit anatomical placement of the femoral tunnel in anterior cruciate ligament (ACL) reconstruction, Placement of an ACL graft within the anatomical femoral and tibial attachment sites is critical to the successful clinical outcome of ACL reconstruction. Surgical Technique: The medial portal technique was used for anatomic single bundle (SB) ACL reconstruction. Methods: Between November 2013 and October 2015, 30 ACL reconstructions were performed using the medial portal technique. All the patients were followed for a minimum of 06 months post-operatively. Clinical evaluation was done using the Lysholm score and International Knee Documentation Committee (IKDC) grade. Results: The mean Lysholm and the IKDC grade showed improvement at last follow up. None of the patients had a positive pivot shift test, anterior drawer test and Lachman test at final follow-up. Conclusion: The medial portal technique for anatomical SB ACL reconstruction is a simple technique showing good clinical results.
RESUMO
The current conventional portals for hip arthroscopic surgery are the anterior, anterolateral, and posterolateral portals. For lesions in the medial anteroinferior or posteroinferior portion of the hip, these portals provide insufficient access to the lesion and consequently lead to incomplete treatment. Thus, in such a situation, a medial portal approach might be helpful. However, operators have avoided this procedure because of the risk of injury to the obturator, femoral neurovascular structures, and the medial femoral circumflex artery. Thus, to overcome the disadvantages of the conventional method for medial lesions of the hip, we performed a cadaveric study to evaluate the technique, usefulness, and risk of the medial portal technique.