Fig 7.

An arthroscopic view of the left knee using a 30° arthroscope through the anterolateral portal. To perform the double-bundle posterior cruciate ligament reconstruction in the femur, the attachment of the anterolateral bundle (ALB) and posteromedial bundle (PMB) is identified. With the use of an arthroscopic coagulator (A) the anterolateral attachment is identified using the trochlear point and medial arch point as a reference. The femoral attachment of the ALB is then removed and an 11-mm-diameter acorn reamer is placed against the cartilage (B). This allows the correct position of the tunnel and avoids damage to the cartilage. A guide pin is inserted through the acorn reamer and a 25-mm deep closed socket is performed. The first tunnel will be the reference to perform the PMB reconstruction. (MFC, medial femoral condyle.)