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. 2020 Aug 2;9(8):e1101–e1108. doi: 10.1016/j.eats.2020.04.008

Fig 6.

Fig 6

Anterior cruciate ligament reconstruction. (A) We start with the standard anterior lateral and anterior medial arthroscopic portals. the tibial tunnel pin is located, then the tunnel is drilled at the suitable diameter. (B) After inside-out anteromedial femoral tunnel drilling, the graft is then pulled through the tibial tunnel until the proximal end of the femoral tunnel (Fig 5B). (C) The last locking and more anterior screw of the plate is inserted after graft fixation as this screw might interfere with the tibial tunnel. (D) The graft is fixed using 2 bioabsorbable screws. An arthroscopic view of the tibial tunnel allows one to see the bone graft crushed by the tibial screw, which ensures a solid fixation.