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ACL Surgery (Allograft)

Clip Number: 6 of 9
Presentation: Anterior Cruciate Ligament Tear (ACL Tear)
The following reviewers and/or references were utilized in the creation of this video:
Reviewed By: Arthur Schoenstadt, MD
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Now let's discuss your procedure.
After the anesthesia is given, a tourniquet or blood pressure cuff, is usually wrapped around your thigh to temporarily stop the flow of blood to your knee. This allows your doctor to see the surgical area clearly.
To help reduce the chance of infection, the area will be scrubbed with a special soap, and you will be covered with sterile sheets. The only area exposed will be the site where the procedure is being performed.
Your doctor will begin the surgery by making three small incisions about a quarter inch in length. One is located above the kneecap and the other two are below. Your knee is then filled with fluid to expand the joint so that your doctor can see better inside. Through one of the incisions, the arthroscope is then inserted. Once the arthroscope is in the correct position, your doctor will begin to examine the structures of your knee on a video monitor, looking for any damage to the menisci or articular cartilage. If an injury is seen, your doctor will treat it at that time. When the cartilage work is done, your doctor will then proceed with the ACL reconstruction.
Your doctor will first remove the torn ends of your ACL. It will then be replaced with a sterile ACL graft from a cadaver.
To do this a tunnel where the graft will eventually lay is drilled into the shinbone through the knee and into the thighbone. The graft is then placed into the tunnel and usually secured into place with two screws, one in the thighbone and the other in the shinbone.
After your doctor has completed the work within your knee all of the instruments will be removed and the fluid will be drained. The skin incisions will be closed using stitches and a sterile bandage will be applied. A hinged knee brace may be placed to lock your knee in a straight position.
 

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