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Bicruciate Knee Ligament Reconstruction Using 4 All-Anterior Arthroscopic Portals.
Arthroscopy Techniques 2016 August
The use of an accessory posteromedial portal for posterior cruciate ligament reconstruction in bicruciate knee ligament reconstruction has often been described. However, the use of a posteromedial portal can be time consuming and has some inherent risks including injury to the saphenous vein or nerve. We describe our bicruciate knee ligament reconstruction using 4 exclusively anterior portals including a high anteromedial, high anterolateral, low anteromedial, and low anterolateral portals. Arthroscopy is performed using a combination of 30° and 70° arthroscopes. Fluoroscopic assistance is used in conjunction with a 70° arthroscope for the creation of the posterior cruciate ligament tibial tunnel.
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