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This
arthroscopic picture demonstrated the stump of the torn
ligament after removal of the Cyclops lesion, in preparation
for insertion of the new graft |
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The
femoral side of the torn ligament attachment is also
prepared for the new graft |
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An
arthroscopic jig is used to insert guide wires in order to
create bony tunnels in the exact position to reproduce the
normal position of the ACL
tendon |
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The
position of the jig is seen in this arthroscopic picture |
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Once
the guide wire is positioned, a cannulated drill creates the
tibial tunnel |
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The
guide wire position |
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The
drill is passed over the guide wire |
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The
guide wire is then inserted through the tibial tunnel into
the femoral site for the graft |
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After
the femoral guide wire is positioned, a cannulated drill
creates the femoral
tunnel |
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It is
drilled 35-40 mm into the femur |
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The
Rigifix jig is now inserted into the femoral tunnel. It is
used to position the Rigifix pins to fix the femoral side of
the graft. |
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The
Rigifix jig can be seen from the outside |
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A
diagram of the Rigifix jig |
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The
holes are being drilled to insert the pins |
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A
diagram demonstrating the jig ready to insert the pins |
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The
femoral tunnel, once prepared for insertion of the pins can
be viewed arthroscopically. |
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Two
sheaths are left in position once the jig is removed |