Inlay endorsement in ACL

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Aug 6th, 2022
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How to inlay endorsement in ACL

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posterol lateral corner or PLC injuries involve damage to the outer back aspect of the knee these injuries can be difficult to diagnose and treat due to the complex Anatomy involved PLC surgery involves reconstructing the affected structures to stabilize the knee some ligaments may be suitable for direct repair others may require the use of grafts or medical device us for repair and reconstruction

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In general, there are three main graft options: a patellar tendon autograft, a hamstring autograft, and an allograft. An autograft comes from the patients own body, whereas an allograft comes from a cadaver donor. An allograft can come from patellar tendon, hamstring tendon, achilles and other ankle tendons.
CPT Code: 29888 Anterior cruciate ligament reconstruction (ACL reconstruction) is a surgical tissue graft replacement of the anterior cruciate ligament, located in the knee, to restore its function after anterior cruciate ligament injury.
The posterior cruciate ligament (PCL) is a powerful ligament extending from the top-rear surface of the tibia to the bottom-front surface of the femur. The ligament prevents the knee joint from posterior instability.
The PCL tibial inlay technique allows direct approach to the tibial insertion of the PCL [8,9,10]. Both methods seem to produce equivalent results [1, 2, 11]. Since 2002, we have used the PCL inlay open technique, positioning the patient prone to undertake a posteromedial expose the tibial insertion of the PCL (Fig.
What kind of anesthesia is used for ACL surgery? At HSS, most patients who undergo ACL reconstruction are given an epidural nerve block during their surgery, rather than being placed fully unconscious under general anesthesia. This epidural is the same type of regional anesthesia many women receive during childbirth.
LaPrades surgical PCL reconstruction technique involves the creation of a closed socket tunnel in the femur for both the anterolateral and posteromedial bundles of the PCL. The graft is fixed in that location and pulled distally down the tibia.
The PCL originates from the junction of the femoral notch roof and the medial femoral condyle roughly 1 cm proximal to the articular surface. The insertion of the PCL is on the posterior aspect of the proximal tibia at the fovea, a depression between the tibial plateaus 1 cm distal to the articular surface.

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