Arthroscopic Anterior Cruciate Ligament (ACL) reconstruction using Hamstrings.

1. Through a 1 inch scar, two of the Hamstring tendons are retrieved using a long instrument.

The two "hamstrings" are called Gracilis and Semitendinosus. MRI studies show that they later regrow.

2. The old Anterior cruciate ligament torn ends are removed arthroscopically (key hole surgery).

3. Precise tunnel drilled up through tibia to emerge at the optimum site for the new ACL

Tunnel or cylinder in shin bone (tibia) after drilling, this is where the new ACL will emerge. 

4. Tunnel drilled in thigh bone (Femur).

5. Cross pin drilled to go across the middle of the femoral tunnel, then flexible wire passed.

6. The clever bit: middle of wire pulled down through the tunnels. Hamstrings folded over wire loop.

4.

7. Folded Hamstrings folded over wire.

 a

n   8. Foled or looper hamstrings pulled up through both tunnels.

H

9. Fixed at both ends with powerful fixation.

        Femur: pin passed over wire,

        Tibia:   screw passed.

 10. Finished new Anterior cruciate Ligament Reconstruction (ACL).